Nagaratnam N, Grice D, Kalouche H
Department of Medicine (Geriatrics) Blacktown, Mt Druitt Health, NSW, Australia.
J Neurol Sci. 1998 Mar 5;155(2):204-7. doi: 10.1016/s0022-510x(97)00301-8.
Five patients with optic ataxia together with tactile apraxia are described. They also demonstrated difficulty in finger movements under visual guidance. The CT scan showed lesions in the posterior parietal region in three and in two they were located anteriorly. It is well recognised that lesions in the posterior parietal area may cause disruption of visual guided movements. On the basis of the two cases it is postulated that the same phenomenon could occur with lesions located more anteriorly. The assumption is that optic ataxia may occur either following damage to the parieto-occipital region or to disruption of its occipitofrontal connections.
本文描述了5例伴有触觉失用症的视觉性共济失调患者。他们在视觉引导下进行手指运动时也存在困难。CT扫描显示,3例患者的病变位于顶叶后部区域,2例患者的病变位于前部。众所周知,顶叶后部区域的病变可能会导致视觉引导运动的障碍。基于这两例病例推测,更靠前部位的病变可能也会出现同样的现象。一种假设是,视觉性共济失调可能发生在顶枕叶区域受损之后,或者是其枕额连接中断之后。