Ochipa C, Rothi L J, Heilman K M
Audiology-Speech Pathology Service, Veterans Administration Medical Center, Gainesville, FL.
Ann Neurol. 1989 Feb;25(2):190-3. doi: 10.1002/ana.410250214.
We report a 67-year-old left-handed man who exhibited an ideational apraxia in both clinical and nonclinical natural settings following a right hemisphere infarction. His inability to use tools could not be explained by a motor production deficit (ideomotor apraxia), because he made content errors and could not match tools with objects. His deficit could not be attributed to an agnosia or language comprehension deficit, because he could name tools and point to tools on command. Based on our testing, it appeared that this patient had a loss of knowledge related to tool use.
我们报告了一名67岁的左利手男性，在右侧半球梗死之后，他在临床和非临床自然场景中均表现出观念性失用症。他无法使用工具，这不能用运动执行缺陷（观念运动性失用症）来解释，因为他出现了内容错误，并且无法将工具与物体匹配。他的缺陷不能归因于失认症或语言理解缺陷，因为他能够说出工具的名称，并能根据指令指出工具。根据我们的测试，这名患者似乎丧失了与工具使用相关的知识。
