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患者、男77岁,以突发失语1日入院,既往有“冠心病”“心律不齐”病史数年,查体:血压16/11kPa,心率84～96次/分,律绝对不齐。语言检查示:表达困难,理解不良,复述差,命名困难,书写不能,阅读困难,左右和手指失认,计算力差,临摹图形完成不良,余无其它神经体征。心电图示快速房颤伴部分性室内差异传导。CT和MRI均显示:左颞顶枕区多个低密度灶和双顶叶深部小低密度灶,本例突然起病呈现表达、接受、重复、命名均障碍的完全性失语和Gerstmann氏综合症。已往认为的完全性失语均伴主侧半球对侧偏瘫或/和偏身
Patients, male, 77 years old, with sudden aphasia admitted to the hospital on the 1st, previous “coronary heart disease” “arrhythmia” history of several years, physical examination: blood pressure 16 / 11kPa, heart rate 84 ~ 96 beats / min, the law is absolutely missing. Language check shows: poor expression, poor understanding, poor paraphrase, naming difficulties, can not write, reading difficulties, left and right fingers and derecognition, poor computing power, copying graphics to complete the bad, I no other signs of the other. ECG rapid atrial fibrillation with some differences in indoor conduction. Both CT and MRI showed multiple low-density lesions in the left temporal parietal region and deep-lobe low-density lesions in the parietal region. This sudden onset of disease showed complete aphasia of expression, acceptance, repetition, naming and disorder, and Gerstmann’s syndrome . Previously considered complete aphasia with the main hemisphere contralateral hemiplegia or / and partial body