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纯失写症:一种离散型失语症。

Pure agraphia: a discrete form of aphasia.

作者信息

Rosati G, De Bastiani P

出版信息

J Neurol Neurosurg Psychiatry. 1979 Mar;42(3):266-9. doi: 10.1136/jnnp.42.3.266.

DOI:10.1136/jnnp.42.3.266
PMID:438836
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC490731/
Abstract

A 62 year old, right handed man developed a pure agraphia as the result of a left temporal lobe stroke. Isolated writing disturbances persisted for seven months until he had a second cerebrovascular accident resulting in total aphasia and right hemiplegia. A CAT scan obtained four months after the first episode showed a localised dilatation of the posterior portion of the left Sylvian cistern and patchy areas of low absorption in the left temporal lobe. The report supports suggestions that localised damage to the language area can produce a pure agraphia as the sole detectable disorder of language organisation.

摘要

一名62岁的右利手男性因左侧颞叶中风出现了单纯性失写症。孤立性书写障碍持续了七个月,直到他再次发生脑血管意外,导致完全性失语和右侧偏瘫。首次发作四个月后进行的计算机断层扫描(CAT)显示左侧大脑外侧裂池后部局限性扩张,左侧颞叶有片状低吸收区。该报告支持了这样的观点,即语言区域的局限性损伤可产生单纯性失写症,作为语言组织中唯一可检测到的障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ad2/490731/f3232fa4db4b/jnnpsyc00083-0076-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ad2/490731/4386d90e18de/jnnpsyc00083-0075-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ad2/490731/f3232fa4db4b/jnnpsyc00083-0076-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ad2/490731/4386d90e18de/jnnpsyc00083-0075-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ad2/490731/f3232fa4db4b/jnnpsyc00083-0076-a.jpg

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Could pure agraphia be the only sign of stroke? Lessons from two case reports.单纯失写症可否为脑卒中的唯一征象?来自两例病例报告的启示。
J Postgrad Med. 2021 Apr-Jun;67(2):93-95. doi: 10.4103/jpgm.JPGM_1066_20.
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Written language production disorders: historical and recent perspectives.书面语言产生障碍:历史与近期观点

本文引用的文献

1
[Agraphia in a case of head injury in a subject with lesions on the second and third left frontal convolutions].[一名左侧额中回和额下回有病变的头部受伤患者出现失写症]
Sem Hop. 1950 May 6;26(34):1598-1601.
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[A new case of agraphia without aphasia, indicative of a metastatic tumor of the base of the left middle frontal gyrus].
Rev Neurol (Paris). 1951 Feb;84(2):159-61.
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Isolated writing disorders in a patient with stenosis of the left internal carotid artery.一名左颈内动脉狭窄患者的孤立性书写障碍。
Curr Neurol Neurosci Rep. 2013 Aug;13(8):369. doi: 10.1007/s11910-013-0369-9.
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J Neurol Neurosurg Psychiatry. 1981 May;44(5):430-2. doi: 10.1136/jnnp.44.5.430.
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8
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J Neurol Neurosurg Psychiatry. 1990 Mar;53(3):263-5. doi: 10.1136/jnnp.53.3.263.
9
Dementia presenting with aphasia: clinical characteristics.以失语为表现的痴呆:临床特征
J Neurol Neurosurg Psychiatry. 1991 Jun;54(6):542-5. doi: 10.1136/jnnp.54.6.542.
Cortex. 1970 Jun;6(2):241-8. doi: 10.1016/s0010-9452(70)80031-4.
4
Writing disturbances in acute confusional states.急性意识模糊状态下的书写障碍。
Neuropsychologia. 1972 Sep;10(3):343-53. doi: 10.1016/0028-3932(72)90026-7.
5
[Verbal comprehension in aphasic and in normal subjects with a shortened version of the token test (author's transl)].[使用简版代币测验对失语症患者和正常受试者进行言语理解能力测试(作者译)]
Riv Patol Nerv Ment. 1975 Jul-Aug;96(4):252-69.
6
[Pure (dynamic ?) agraphia of frontal origin. Apropos of one case].[额叶起源的纯(动态?)失写症。关于一例]
Rev Neurol (Paris). 1975 Jul;131(7):505-12.