Schonauer K, Denes G
Psychiatrische Universitätsklinik Münster, Germany.
Brain Lang. 1994 Aug;47(2):279-99. doi: 10.1006/brln.1994.1053.
We report on a patient with left hemispheric thromboembolic stroke whose writing performance on single word dictation following recovery from an aphasic syndrome remained severely impaired but fluent. Having only very fragmentary command of the target's written spelling she produced neologistic nonwords which were approximately the same length and contained, in addition to perseverative intrusions and unidentifiable errors multiple insertions, deletions, transpositions, and substitutions but only few unpronounceable combinations. The patient was tested 4 and 10 months postonset, before and after having attended a rehabilitation program for dysgraphia. Comparing pre- and post-rehabilitation error corpora we found, besides a slight improvement of her severe dysgraphia, a highly significant predilection of in-class substitutions regarding the consonant/vowel status of misspelled graphemes. The second error corpus revealed some influence of different consonant/vowel patterns among the targets on the emergence of spelling errors. We discuss the hypothesis of an influence of nonlexical "graphotactic" features on the spelling process as has been revealed by other cases of acquired dysgraphia published in recent years.
我们报告了一名患有左半球血栓栓塞性中风的患者，其在从失语综合征恢复后进行单字听写时的书写表现仍然严重受损，但表达流畅。她对目标单词的拼写掌握非常零碎，写出了新造的无意义词，这些词长度大致相同，除了持续性错误和无法识别的错误外，还包含多次插入、删除、换位和替换，但只有很少不可发音的组合。在发病后4个月和10个月，即参加书写障碍康复计划前后，对该患者进行了测试。比较康复前后的错误语料库，我们发现，除了她严重的书写障碍略有改善外，在拼写错误的字母的辅音/元音状态方面，课堂上的替换有高度显著的偏好。第二个错误语料库显示，目标单词中不同的辅音/元音模式对拼写错误的出现有一些影响。我们讨论了近年来发表的其他获得性书写障碍病例所揭示的非词汇“字位组构”特征对拼写过程有影响的假说。
