Takano S, Maruno T, Shibata Y, Yanaka K, Shirai S
Department of Neurosurgery, Soujinkai Hospital, Ibaraki.
Neurol Med Chir (Tokyo). 1996 Mar;36(3):185-8. doi: 10.2176/nmc.36.185.
A right-handed 48-year-old female had clustered groups of seizures characterized by speech disturbance (attacks of verbal repetition and speech arrest) over a period of 7 years. Later, speech arrest was accompanied by perioral focal seizures. Magnetic resonance imaging and surgery found a low grade astrocytoma, centered in the left supplementary motor area. Postoperatively, no seizures or speech disturbances occurred for 3 years. This case confirms the main function of the supplementary motor area of the dominant hemisphere is connected with the initiation of speech and the setting into motion of the mechanism of speech.
一名48岁右利手女性在7年时间里出现以言语障碍（言语重复发作和言语停顿）为特征的癫痫发作群。后来，言语停顿伴有口周局灶性癫痫发作。磁共振成像和手术发现一个低度星形细胞瘤，位于左辅助运动区。术后3年未出现癫痫发作或言语障碍。该病例证实优势半球辅助运动区的主要功能与言语的启动和言语机制的启动有关。
