J Korean Neurol Assoc > Volume 17(5); 1999 > Article
Journal of the Korean Neurological Association 1999;17(5): 717-720.
뇌실내출혈로 인한 급성 수두증에서 관찰된 해리증후군
김광기, 이경민 ·이정주 ·오종배 ·안태범 ·정상욱 ·남현우*·박성호*
서울대학교 의과대학 신경과학교실, 서울특별시립 보라매병원 신경과*
Disconnection Syndrome in Acute Hydrocephalus due to Intraventricular Hemorrhage
Kwang-Ki Kim, M.D., Kyoung-Min Lee, M.D. Ph.D., Tae-Beom Ahn, M.D., Jong-Bai Oh M.D., Jung Ju Lee, M.D., Sang-Uk Jeong, M.D., Hyunwoo Nam, M.D.*, Seong-Ho Park, M.D. Ph.D.*
Department of Neurology, College of Medicine, Seoul National University, Seoul, Korea Department of Neurology, Boramae City Hospital, Seoul, Korea*
Abstract
The right and left hemispheres of the brain play somewhat different roles but help each other perform higher cortical functions. A 43 year-old right-handed woman was admitted due to a intraventricular hemorrhage followed by hydro-cephalus. A brain MRI revealed an intraventricular hemorrhage in the lateral, 3rd, and 4th ventricle and the hemorrhage in the lateral ventricle was compressing the genu of the corpus callosum. When asked to draw the face of a clock, she placed the numbers in reverse order (counter clockwise) when performing the task with her right hand, whereas the same task performed by the left hand was normal. In addition, when she wrote out simultaneously with right and left hands , she wrote Korean words in their mirror image with her left hand . When she wrote Chinese characters, she per-formed better with her right hand. These findings revealed some aspects of interhemispheric interaction in processing the images of a clock, and the orthographic lexicon of Korean and Chinese characters. J Kor Neurol Ass 17(5):717~720, 1999 Key Words : Hydrocephalus, Disconnection, Mirror image
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