基底神经节性失语38例临床分析

^^The Clinic Analyses of 38Cases of Basal Ganglion Aphasia

１９９２年９月～１９９４年２月我院收治基底神经节内囊梗塞患者３８例，经ＣＴ证实为基底节区梗塞３２例，内囊区梗塞６例。临床表现均有轻微的语言障碍，说话含糊不清，发音不准确，但不偏离原来的音位，不影响对语义的理解，复述相对好。３８例中分别伴有不同程度锥体束征、头晕、面部麻木、舌发麻或运动不灵活、口角流涎等症状。头部ＣＴ检查病灶均位于皮层下，均为单发病灶。经治疗１～４个月内恢复正常或基本正常。本文重点对基底节内囊区梗塞与失语的关系进行了讨论。

From Sep. 1992 to Feb.1994,38 cases of infarction of internal capsule of basal ganglion were admitted to our hopsital. CT revealed that 32 had infarct of basal gaglion and the rest had internal capsule infarct. All of them were attacked at the first time and the clinic manifestations were similar. They all had slight linguistic obstacle, Some had pyramid sign of varying degree and some had dizziness or facial numbness, numbness and moving difficulties of tongue or salivation, The results of CT showed that all foci were solitary and located in infracortial area, After 1￣4months treatment, most patients recovered. The paper focused on pathogenesis of aphasia and relationship between infarction of internal capsule of basal ganglion and aphasia.