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논문KCI 등재

순수실서증으로 발현한 좌측 피질하 뇌경색

Left Subcortical Infarction Presenting Pure Agraphia

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참고문헌

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초록

We report a man who exhibited pure agraphia after suffering a left subcortical infarction involving part of the thalamus and the basal ganglia. His writing difficulty was characterized by stopping, letter omission, and substitution in spontaneous writing and writing to dictation, but he was able to copy normally. Decreased perfusion in the left frontal lobe and temporal cortex was noted on brain single-photon-emission computed tomography . This patient’s agraphia persisted at follow-up 52 days later. We suggest that the subcortical lesion in this patient caused pure agraphia secondary to diaschisis of the interconnected cortical area.

Abstract

We report a man who exhibited pure agraphia after suffering a left subcortical infarction involving part of the thalamus and the basal ganglia. His writing difficulty was characterized by stopping, letter omission, and substitution in spontaneous writing and writing to dictation, but he was able to copy normally. Decreased perfusion in the left frontal lobe and temporal cortex was noted on brain single-photon-emission computed tomography . This patient’s agraphia persisted at follow-up 52 days later. We suggest that the subcortical lesion in this patient caused pure agraphia secondary to diaschisis of the interconnected cortical area.

참고문헌 (10)

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  3. Yaguchi H, "A case of pure agraphia due to left parietal lobe infarction", No To Shinkei, 58, pp.885~892 (2006)
  4. Sakurai Y, "Frontal pure agraphia for kanji or kana: dissociation between morphology and phonology", Neurology, 49, pp.946~952 (1997)
  5. Soma Y, "Lexical agraphia in the Japanese language. Pure agraphia for Kanji due to left posteroinferior temporal lesions", Brain, 112, pp.1549~1561 (1989)
  6. Kokubo K, "Pure Kana agraphia as a manifestation of graphemic buffer impairment", Cortex, 37, pp.187~195 (2001)
  7. Aiba E, "Two cases of pure agraphia developed after thalamic hemorrhage", No To Shinkei, 43, pp.275~281 (1991)
  8. Ohno T, "Apraxic agraphia due to thalamic infarction", Neurology, 54, pp.2336~2339 (2000)
  9. Katanoda K, "A functional MRI study on the neural substrates for writing", Hum Brain Mapp, 13, pp.34~42 (2001)
  10. Miceli G, "Spelling and dysgraphia", Cogn Neuropsychol, 23, pp.110~134 (2006)

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