Cherif A A, Labrecque R, Pellissier J F, Poncet M, Boudouresques J
Rev Neurol (Paris). 1979 Nov;135(10):665-78.
We report the clinical and pathological study of a patient with vascular leucoencephalopathy almost restricted to the left posterior hemisphere. A 65 year--old right handed hypertensive woman has presented with a neuropsychological symptomatology of transcortical sensorial aphasia. We discuss the following points: 1) the patient's disease must be considered as Binswanger's subcortical encephalopathy despite the asymetric topography of the lesions ; 2) particular hemodynamic cerebral factors has possibly determined the asymetric nature of the disease ; 3) a lesion of the left temporo-parieto-occipital area that was strictly sub-cortical, with complete destruction of the posterior part of the arcuate fasciculus has presented with the clinical picture of a transcortical sensorial aphasia.
我们报告了一名血管性白质脑病患者的临床和病理研究，该患者的病变几乎局限于左后半球。一名65岁右利手的高血压女性出现了经皮质感觉性失语的神经心理学症状。我们讨论以下几点：1）尽管病变部位不对称，但该患者的疾病仍应被视为宾斯旺格皮质下脑病；2）特定的脑血流动力学因素可能决定了该疾病的不对称性质；3）左侧颞顶枕区一个严格位于皮质下的病变，弓状束后部完全破坏，表现出经皮质感觉性失语的临床症状。
