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 |
|