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作者报告2例经神经放射学确诊的左视交叉出血后表现单纯性失写的临床治验。2例均于发病初期表现轻度的听理解障碍及唤语困难,后症状迅速好转,残留失写。慢性期头颅CT 示大脑皮层未发现特殊异常,~(123)I—IMP、SPECT 提示左大脑皮层血流量减低。Chédru 曾描述急性期意识障碍可产生单独的失写。本文2例几乎无口头言语及阅读障碍。2例患者自急性期到慢性期始终表现程度较重的失写,特别例2初期意识完全清醒,从而考虑单纯失写,并非完全与意识障碍有关。
The authors report 2 cases of left-sided cross-operative hemorrhage confirmed by neuroradiology after clinical failure of the performance of simple tests. Both of the 2 patients showed mild dyslexia and awkward dyslexia in the early stage of onset, and the symptoms improved rapidly and the residual was lost. Chronic cranial CT showed no abnormalities in the cerebral cortex, ~ (123) I-IMP, SPECT prompted left cerebral cortex blood flow decreased. Chédru has described a single loss of consciousness in the acute phase of disturbance of consciousness. This article 2 cases almost no verbal and reading disabilities. Two cases of patients from the acute phase to the chronic phase has always been the performance of heavy loss of writing, especially in early cases of complete awareness of 2 cases, so consider simple loss of writing, not completely related to disturbance of consciousness.