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纯词聋患者双侧颞上回(STG)缺血性卒中。

Pure word deafness in a patient with bilateral ischemic stroke in the superior temporal gyrus (STG).

机构信息

Department of Neurology, Medical University , Wroclaw, Poland.

出版信息

Neurocase. 2020 Jun;26(3):121-124. doi: 10.1080/13554794.2020.1754860. Epub 2020 May 2.

Abstract

INTRODUCTION

Pure word deafness is a rare neurological disorder linked with an inability to comprehend speech. The precise localization of damage is still unclear.

CASE PRESENTATION

A 72-year-old woman presented with acute verbal contact disturbances, disorientation, and anxiety. In the neurological examination a slight right hemiparesis was found, together with a pure word deafness (PWD) in neuropsychological tests. Neuroimages confirmed bilateral ischemic lesions in the superior temporal gyrus (STG) acute in the left hemisphere.

CONCLUSIONS

Our case suggested that bilateral, symmetric lesions in the region of STG could cause pure world deafness. The diversity and severity of symptoms confirm the necessity of pure world deafness classification for subtypes.

摘要

介绍

纯词聋是一种罕见的与无法理解言语相关的神经学障碍。其确切的损伤位置仍不清楚。

病例介绍

一名 72 岁女性出现急性言语交流障碍、定向障碍和焦虑。神经学检查发现右侧轻度偏瘫,神经心理学检查显示纯词聋。神经影像学检查证实左半球颞上回(STG)存在双侧急性缺血性病变。

结论

我们的病例提示双侧、对称的 STG 区域病变可能导致纯词聋。症状的多样性和严重程度证实了对纯词聋进行亚型分类的必要性。

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