Cambier J, Masson C, Robine B
Clinique neurologique Paul Castaigne, Hôpital Beaujon, Clichy.
Rev Neurol (Paris). 1993;149(8-9):455-61.
In a female patient, aphasia with recurrent utterances resulted from a double lesion of the left hemisphere, located in the base of the third frontal gyrus and the upper temporal gyri. Predominant in the fluent oral expression was a repeated neologism of which the patient was unaware. The written expression, efficient for lexical entities, was devoid of syntax and had the features of phonological agraphia. Both orally and in written words comprehension was satisfactory but syntactic comprehension was deficient. The stereotyped verbal behaviour could be due to dysfunction of the phonemic programmer. Rupture of the audi-phonatory loop, confirmed by degradation of the verbal working, memory, made this dysfunction worse and accounted for the anosognosia. The participation of the right hemisphere and of the preserved left hemispheric structures in the persistence of various language activities are discussed.
在一名女性患者中，左侧半球双重损伤导致了伴有重复言语的失语症，损伤位于第三额回底部和颞上回。流利的口语表达中主要存在一种患者未意识到的重复新语。对于词汇实体有效的书面表达缺乏句法，具有语音失写症的特征。口语和书面语的理解都令人满意，但句法理解存在缺陷。刻板的言语行为可能归因于音素编程器功能障碍。言语工作记忆退化证实的听-说循环中断使这种功能障碍更加严重，并导致了疾病感缺失。本文讨论了右半球和保留的左半球结构在各种语言活动持续存在中的作用。
