Puel M, Cardebat D, Demonet J F, Elghozi D, Cambier J, Guiraud-Chaumeil B, Rascol A
Rev Neurol (Paris). 1986;142(4):431-40.
27 cases of patients who presented language disorders of aphasic nature consecutive to a strictly subcortical lesion of vascular origin are reported. From a topographic point of view, the population is divided into 3 groups: thalamic lesions (15 cases), striatal lesions (9 cases), isolated lesions of the white matter (3 cases). The results of the neurolinguistic analysis of the aphasia show a great symptomatological variety. Nevertheless, in spite of this apparent diversity, certain semiologic elements appear to be common to all of the observed linguistic profiles, no matter where the lesion is: hypophonia, non fluent speech, verbal paraphasias, normal repetition, comprehension generally good. A discussion is proposed as to the specific part which certain structures, notably the thalamus, might play in the origin of these various disturbances.
报告了27例因血管源性严格皮层下病变而出现失语性质语言障碍的患者。从地形学角度来看,该群体分为3组:丘脑病变(15例)、纹状体病变(9例)、白质孤立病变(3例)。失语症的神经语言学分析结果显示出巨大的症状学多样性。然而,尽管存在这种明显的多样性,但某些符号学元素似乎在所有观察到的语言特征中都很常见,无论病变位于何处:声音微弱、言语不流畅、言语错语、复述正常、理解一般良好。针对某些结构,特别是丘脑,在这些各种障碍起源中可能发挥的具体作用进行了讨论。