de la Sayette V, Dupuy B, Eustache F, Morin I, Viader F, Morin P, Lechevalier B
Service de Neurologie, Hôpital Pasteur, Cherbourg.
Rev Neurol (Paris). 1994;150(5):346-53.
A 75 year-old right handed woman had persistent right homonymous hemianopia and alexia without agraphia caused by a haemorrhagic stroke of the left occipito-temporal region. Six months later she suffered sudden onset visual and auditory agnosia, following a second haematoma, contralateral to the first one, in the right occipito-temporal region including the lingual and fusiform gyri. None of the disorders concerned semantic representation, so that an asemantic agnosia was excluded. Her performance in naming and recognition tests, in both visual and auditory modalities, demonstrated a wide range of responses and errors. The pattern of visual symptoms suggested "associative visual agnosia narrow sense" (Farah, 1990); auditory agnosia concerned only the non verbal stimuli. These findings were discussed in terms of anatomical mechanisms subserving perceptual, semantical, visuo and auditory-verbal representation. In this case, visual and auditory, agnosia appears to be independent.
一名75岁的右利手女性因左侧枕颞区出血性中风，出现持续性右侧同向性偏盲和失读症但无失写症。六个月后，她在右侧枕颞区（包括舌回和梭状回）出现了与第一次血肿对侧的第二次血肿，随后突然出现视觉和听觉失认症。所有这些障碍均与语义表征无关，因此排除了语义性失认症。她在视觉和听觉模式下的命名和识别测试中的表现显示出广泛的反应和错误。视觉症状模式提示为“狭义的联想性视觉失认症”（法拉，1990年）；听觉失认症仅涉及非语言刺激。从支持感知、语义、视觉和听觉语言表征的解剖学机制方面对这些发现进行了讨论。在这种情况下，视觉和听觉失认症似乎是独立的。
