<症例>語義失語の1症例

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Gogi (word-meaning) aphasia which was reported by Imura (1943) is reported in this paper. The patient was a 73-year-old right-handed president of a company. On June 4,1978,suddenly he preserved same sentences, and showed difficulties in understanding. On June 6,1978,the patient was admitted to Kinki University Hospital. Neurological and physical examination showed no remarkable findings. On admission mental state was unstable and was gradually stable about one month later. Linguistic impairment : In spontaneous speech frequent usage of the idiomatic phrases, paraphasia, and confusion of contex of sentence are characteristic. Uuderstanding spoken language is very impaired. In reading and writing Kanji character is selectively impaired compared with Kana character and the patient used Kanji character in the sentence only phonetically which is primarily used idiographically. We discussed that it might be of great value to regard Gogi aphasia as a separated type in the transcortical sensory aphasia. About the lesion, in this case brain CT scanning showed the mild diffuse atrophy of cortex and a large low density area in left temporal lobe. Compared other reports about the lesion, we considered that left temporal lobe might play an important role in Gogi aphasia.
近畿大学の論文
1980-12-25