Morin P, Rivrain Y, Eustache F, Lambert J, Courtheoux P
Rev Neurol (Paris). 1984;140(4):271-7.
A patient presented with visual and tactile agnosia due to a spontaneous left occipito-temporal hematoma. Major memory and spatial orientation disorders were also noted, but language, gestures, auditory and olfactory perception, and interior visual imagerie were unaffected. A review of the literature since 1970 found 6 cases of an association of this type among 17 patients with visual agnosia. There appears to be no relationship between the presence of tactile agnosia and the global or partial character of the visual agnosia, the severity of memory disturbances, the presence of visuoverbal disconnection or visual imagery disorders. In contrast, these cases differed in that the lesions were more extensive and extended beyond the internal occipital regions: they were widespread in 3 cases and in the left internal occipital and parietal region in 1 case. In the patient reported in this paper there was a wide lesion of the posterior white matter of the left hemisphere.
一名患者因自发性左枕颞叶血肿出现视觉和触觉失认症。还发现有严重的记忆和空间定向障碍,但语言、手势、听觉和嗅觉感知以及内心视觉意象未受影响。对1970年以来的文献回顾发现,在17例视觉失认症患者中有6例存在这种关联类型。触觉失认症的存在与视觉失认症的整体或部分特征、记忆障碍的严重程度、视言语分离或视觉意象障碍的存在之间似乎没有关系。相比之下,这些病例的不同之处在于病变范围更广,超出了枕叶内部区域:3例病变广泛,1例位于左侧枕叶内部和顶叶区域。本文报告的患者左侧半球后部白质有广泛病变。