颅脑外伤后失语如果不伴有其它神经体征,可呈现一种费解的临床现象,特别是流利性失语,可能还不被人认识,当作是错乱或精神失常,甚至认为是装病。流利性失语病人起始讲话容易,讲话速度正常或增快,可维持正常节律和发音,但有不同程度的用词错误和理解困难和/或有重复语言。正确地解释失语对诊断局灶性脑病变可能有帮助。作者报告一例男性头颈部外伤病人,当时有昏迷。检查右侧额颞部有裂伤,右侧乳突骨折。讲话少而快,好象是故意不回答或答非所问。音调变化正常,但用词不当,对常见物件不能正确命名或不能重复简单短语。脑电图发现有定位不明确的双颞 After a traumatic brain injury, aphasia, if not accompanied by other neurological signs, can present a convoluted clinical phenomenon, especially fluent aphasia, may not yet be recognized as a disorder or mental disorders, or even pretend to be ill. Fluent aphasia patients with easy speech, normal or faster speech, can maintain normal rhythm and pronunciation, but with varying degrees of errors and difficult to understand and / or have repetitive language. Correct interpretation of aphasia may be helpful in the diagnosis of focal encephalopathy. The authors report a case of male head and neck trauma patients, there was a coma. Check the frontal frontotemporal laceration, right mastoid fracture. Speaking less fast, it seems that is deliberately do not answer or give an irrelevant answer. The pitch changes normally, but the wording is not correct, common objects can not be named correctly or can not repeat simple phrases. EEG found ambiguous positioning of the double temporal