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本文作者研究了15例皮质间运动性失语症(Transcortical motor aphasia TCMA)和近似变异型(near variant),均为右利男性。典型 TCMA 7例,近似变异型8例,年龄42～66岁,其中脑梗塞12例,脑出血3例。典型 TCMA 诊断标准:①自发性语言受限;②背诵完好;③发音正常;④听觉语言理解力好。近似变异型诊断标准:①自发性语言受限,语言内容与典型 TCMA 无区别;②背诵完好。除上述外尚合并下列一项或多项病变:①发音障碍;②轻度听觉性语言理解力障碍;③呐吃。典型 TCMA CT 检查7例均发现左额叶有小病灶,以左额角前侧方的白质最多见。病变大多数在侧脑室体部水平,三角部和 Broca 氏区岛盖部上方。只1例病变位于三角区皮层和深层及岛盖区有斑片
The authors studied 15 cases of Transcortical motor aphasia (TCMA) and near variant, both right male. Typical TCMA 7 cases, approximately 8 cases of variant, aged 42 to 66 years, of which 12 cases of cerebral infarction, cerebral hemorrhage in 3 cases. Typical TCMA diagnostic criteria: ① spontaneous language is limited; ② memorize intact; ③ pronunciation is normal; ④ auditory language understanding is good. Approximately variant diagnostic criteria: ① spontaneous language is limited, the language content and the typical TCMA no difference; ② memorized intact. In addition to the above are still one or more of the following lesions: ① dysphonia; ② mild auditory language comprehension disorders; ③ na eat. The typical TCMA CT examination in 7 cases were found in the left frontal lobe with a small lesion, to the left side of the front side of the white matter most common. The lesions are mostly horizontal in the lateral ventricle, above the trigone and the Broca’s island cap. Only one case of lesions located in the cortex of the delta and deep and island area patches