Rousseaux M, Debrock D, Cabaret M, Steinling M
Department of Neurological Rehabilitation, Centre Hospitalier Régional et Universitaire, Lille, France.
J Neurol Neurosurg Psychiatry. 1994 Oct;57(10):1268-71. doi: 10.1136/jnnp.57.10.1268.
A 15 year old ambidextrous patient presented with left temporoparietal lesions after head trauma. Seizures associated with visual hallucinations of written words arose six months later. Electroencephalography showed spike and wave complexes with phase opposition over the left parietal area. On MRI a post-traumatic porencephalic lesion was seen in area 7 and the superior part of area 39 of Brodmann; on T2 sequences, it was surrounded by a hyperecho predominating in the inferior part of the parietal lobe and extending in the posteroexternal temporal cortex. This first description of hallucinations of written words raises the possibility of the presence, in the temporoparietal cortex, of specific representations ("lexicon") of corresponding information.
一名15岁的双利手患者在头部外伤后出现左颞顶叶病变。6个月后出现与书面文字视幻觉相关的癫痫发作。脑电图显示左顶叶区域有相位相反的棘波和慢波复合波。MRI显示在Brodmann 7区和39区上部有创伤后脑穿通畸形病变；在T2序列上，它被一个高回声区包围，该高回声区在顶叶下部占主导，并延伸至颞叶后外侧皮质。对书面文字视幻觉的这一首次描述增加了颞顶叶皮质中存在相应信息的特定表征（“词汇表”）的可能性。
