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一名日本交叉性韦尼克失语症患者的汉字和假名书写障碍

Jargonagraphia in Kanji and Kana in a Japanese crossed Wernicke's aphasic.

作者信息

Ihori N, Kashiwagi T, Kashiwagi A, Tanabe H

机构信息

Kyoritsu Rehabilitation Hospital, Kawanishi, Japan.

出版信息

Brain Lang. 1994 Aug;47(2):197-213. doi: 10.1006/brln.1994.1049.

Abstract

A right-handed Japanese crossed Wernicke's aphasic showed complete neologistic jargonagraphia in kanji and kana with anosognosia of his writing deficits. Prominent jargonagraphia in kanji is quite rare and has not been previously described in the literature. Marked dissociation between speaking and writing during the course suggested that his jargonagraphia might be unique to crossed aphasia. His condition was interpreted for the main part by Yokoyama, Okubo, Doseki, and Yamadori's hypothesis (1981) that free-running on of motor engrams of characters stored in the left hemisphere caused jargonagraphia in crossed aphasia. This case of jargonagraphia in kanji suggests that this hypothesis should be supplemented by the following points: (1) in kanji, not necessarily a character as a whole, but radicals or parts of radicals, function as motor units, which may be released to produce jargonagraphia in kanji; (2) free-running on of visual images as well as of kinesthetic images should be considered especially in written jargon in kanji.

摘要

一名右利手的日本交叉性韦尼克失语症患者在汉字和假名书写中表现出完全性新语性错写症,并对自己的书写缺陷存在失认症。显著的汉字错写症非常罕见,此前文献中未曾描述过。病程中口语和书写之间的明显分离表明,他的错写症可能是交叉性失语症所特有的。他的病情主要依据横山、大久保、土关和山鸟的假说(1981年)来解释,即存储在左半球的字符运动记忆痕迹的自由运行导致了交叉性失语症中的错写症。这个汉字错写症病例表明,该假说应补充以下几点:(1)在汉字中,作为运动单位起作用的不一定是整个字符,而是部首或部首的一部分,它们可能被释放从而产生汉字错写症;(2)尤其是在汉字书面新语中,应考虑视觉图像以及动觉图像的自由运行。

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