Lüders H, Lesser R P, Hahn J, Dinner D S, Morris H, Resor S, Harrison M
Neurology. 1986 Apr;36(4):505-10. doi: 10.1212/wnl.36.4.505.
We report on a 38-year-old patient with intractable complex partial seizures originating in the dominant left medial temporal region. In the work-up for seizure surgery, arrays of subdural electrodes were placed, and electrical stimulation revealed marked language interference in a 2 X 2-cm area in the left basal temporal fusiform gyrus (3.5 to 5.5 cm posterior to the temporal tip). Complete receptive and expressive aphasia, inability to repeat, agraphia, and alexia were elicited, but visual memory was preserved, and no constructional apraxia was noted. Stimulation of the basal temporal gyrus at lower stimulus intensities produced a relatively selective and severe anomia.
我们报告了一名38岁的患者，其顽固性复杂部分性癫痫发作起源于左侧优势颞叶内侧区域。在癫痫手术的检查过程中，放置了硬膜下电极阵列，电刺激显示在左侧颞叶基底梭状回一个2×2厘米的区域（颞尖后方3.5至5.5厘米处）存在明显的语言干扰。引发了完全性感觉性和表达性失语、无法复述、失写症和失读症，但视觉记忆得以保留，且未发现结构性失用症。以较低刺激强度刺激颞叶基底回会产生相对选择性且严重的命名障碍。
