Nagafuchi M, Iinuma K, Yamamoto K, Kitahara T
Tohoku University Hospital, Sendai, Japan.
Brain Lang. 1993 Aug;45(2):180-8. doi: 10.1006/brln.1993.1042.
A 7-year-old girl suffered from a gradual loss of her ability to understand speech. But she had normal hearing and understood various environmental sounds. Brain computerized axial tomography showed normal, but electroencephalogram revealed spike and wave activity from temporal leads, especially on the left side. She was diagnosed as having verbal auditory agnosia. The treatment consisted of diazepam therapy. One year after the onset, her impaired auditory comprehension dramatically improved with the use of diazepam. The dichotic listening test revealed a left ear advantage for both environmental sounds and spoken words. The results seemed to suggest that in this patient the right hemisphere might be functioning as a speech center instead of the left one.
一名7岁女孩逐渐丧失了理解言语的能力。但她听力正常,能理解各种环境声音。脑部计算机断层扫描显示正常,但脑电图显示颞叶导联有棘波和慢波活动,尤其是左侧。她被诊断为言语听觉失认症。治疗方法为地西泮治疗。发病一年后,使用地西泮后,她受损的听觉理解能力显著改善。双耳分听测试显示,左耳在环境声音和口语单词方面均占优势。结果似乎表明,在该患者中,右半球可能正在充当言语中枢,而非左半球。