Archibald Y M
Department of Clinical Neurosciences, Victoria Hospital, London, Ontario, Canada.
Brain Cogn. 1987 Oct;6(4):412-28. doi: 10.1016/0278-2626(87)90137-0.
Apraxia usually follows a left hemisphere lesion in right-handers with left hemisphere speech representation. Apraxia following a right hemisphere lesion in left-handers is rare, however, and not well documented in the literature. Two left-handed patients are described in whom apraxia and aphasia followed a right hemisphere lesion. Both the apraxic and the aphasic deficits improved but were still demonstrable 6 weeks following the infarct. The data are consistent with those for right-handers with left hemisphere lesions in suggesting some overlap of anatomical structures for the control of speech and praxis.
失用症通常发生在惯用右手且左半球具有语言表征功能的患者左侧半球受损之后。然而,左撇子右侧半球受损后出现失用症的情况较为罕见,且文献中对此记载不多。本文描述了两名左撇子患者,他们在右侧半球受损后出现了失用症和失语症。梗塞发生6周后,失用症和失语症的症状均有所改善,但仍可被检测到。这些数据与左侧半球受损的右撇子患者的数据一致,表明在控制语言和动作方面,某些解剖结构存在重叠。