Wolfe G I, Ross E D
Arch Neurol. 1987 Jun;44(6):668-71. doi: 10.1001/archneur.1987.00520180082024.
We report a case of sensory aprosodia with left hemiparesis following an ischemic infarction of the right thalamus and posterior limb of the internal capsule. Bedside evaluation, confirmed by special quantitative tests, demonstrated normal spontaneous affective prosody and gesturing with marked impairment of affective repetition and comprehension of affective prosody and gestures. A left hemiparesis with sensory loss was also present. This combination of deficits appears to represent the right-side analog to the unusual syndrome of Wernicke-type aphasia with right hemiparesis occasionally observed following left subcortical injury, thus providing further support for the hypothesis that the functional-anatomic organization of affective language in the right hemisphere mirrors that of propositional language in the left.
我们报告一例右侧丘脑及内囊后肢缺血性梗死导致感觉性失韵律症伴左侧偏瘫的病例。床边评估经特殊定量测试证实，显示出自发情感韵律和手势正常，但情感重复以及对情感韵律和手势的理解存在明显障碍。同时还存在伴有感觉丧失的左侧偏瘫。这种缺陷组合似乎代表了左侧皮质下损伤后偶尔观察到的伴有右侧偏瘫的韦尼克型失语症这一不寻常综合征的右侧类似情况，从而为右半球情感语言的功能 - 解剖组织反映左半球命题语言的功能 - 解剖组织这一假说提供了进一步支持。
