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["亚角形”亚历克西症及相关神经心理学体征:临床与体层摄影密度测定研究]

["Sub-angular" alexis and associated neuropsychologic signs: clinical and tomodensitometric study].

作者信息

Ducarne B, Bergego C, Gardeur D

出版信息

Cortex. 1983 Apr;19(1):115-23. doi: 10.1016/s0010-9452(83)80054-9.

Abstract

A clinical case of alexia without agraphia is reported. The computerized tomography (CT) showed a left sub-cortical parieto-occipital hemorrhage. The cortical lesion probably involved the posterior part of the angular gyrus but spared the medial occipital cortex. There was no evidence of a corpus callosum lesion. The clinical findings associated with the alexia and the localisation of the haematoma could be compared to the case reported by Greenblatt as a "subangular alexia" and considered as a disconnection of the left angular gyrus from right angular gyrus and both left and right occipital areas. The semiological aspects of the present case have been found to consistently differ from the classical forms of alexia usually described. Some common features with phonological alexia have been observed.

摘要

报告了一例失读不伴失写的临床病例。计算机断层扫描(CT)显示左侧皮质下顶枕部出血。皮质病变可能累及角回后部,但枕叶内侧皮质未受累。没有胼胝体病变的证据。与失读相关的临床发现和血肿的定位可与格林布拉特报告的“角回下失读”病例相比较,并被认为是左侧角回与右侧角回以及左右枕叶区域之间的联系中断。已发现本病例的症状学方面与通常描述的经典失读形式始终不同。观察到了与语音性失读的一些共同特征。

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