7예의 전도실어증의 뇌 전산화 단층 촬영상에서의 병변의 위치 |
나덕렬, 박성호, 김광국, 이광우, 노재규, 이상복, 명호진 |
서울대학교 신경과. |
Lesion Sites on Computed tomography Scan in 7 Cases of Conduction Aphasia |
Duk-Lyul Na, M.D., Seong-Ho Park, M.D., Kwang-Kuk Kim, M.D., Kwang-Woo Lee, M.D., Jae-Kyu Roh, M.D., Sang-Bok Lee. M.D., Ho-Jin Myong, M.D. |
Department of Neurology, College of Medicine, Seoul National University |
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Abstract |
The lesions on computerized tomography (CT) scan were evaluated in 7 cases of conduction aphasia.
On Modified Westem Aphasia Battery (MWAB), all the patients showed fluent
aphasia with some paraphasic errors, good comprehension, marked repetition dificit and
variable degree of impairment in naming.
The three most common lesions on CT scan were supramarginal gyrus and it's
white matter, primary auditory cortex, and insular region, which were involved in 6,5,4
cases out of 7 respectively. Of the three lesions, one or variable combinations of them
may be the critical structures for repetition difict in these patients, as has been reported
in previous studies. In 5 cases Wermicke area was relatively intact and prominent
involvement was seen in only 2 cases, which is thought to be associated with relative
preseration foaural comprehension in conduction aphasia. |
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