Racy A, Jannotta F S, Lehner L H
Arch Neurol. 1979 Apr;36(4):221-4. doi: 10.1001/archneur.1979.00500400075012.
A 62-year-old right-handed woman was admitted to the hospital with a cerebrovascular accident in the left hemisphere. She was aphasic as well as hemiplegic on the right. She had had a left cerebrovascular accident 18 years earlier that caused weakness in the right hand, but no grossly detectable speech problems. Autopsy disclosed an old infarct along the left Rolandic area, and a recent infarct in the territory of the left anterior cerebral artery. The clinical picture and pathologic changes are discussed in an attempt to relate the findings at autopsy to the recently developed aphasia.
一名62岁右利手女性因左半球脑血管意外入院。她存在失语症且右侧偏瘫。18年前她曾发生过一次左侧脑血管意外，导致右手无力，但未出现明显可察觉的言语问题。尸检发现左侧中央沟周围区域有陈旧性梗死灶，以及左侧大脑前动脉供血区域有近期梗死灶。本文讨论了临床表现和病理变化，试图将尸检结果与近期出现的失语症联系起来。
