词义理解障碍为主的经皮质感觉性失语一例报告

报道1例以词义理解障碍为突出表现的经皮质感觉性失语，临床特征为口语表达流利型，口语听理解极差，字词层级理解障碍突出，命名困难，复述有困难，但相对好，有严重的失读与失写、抄写、系列写、计算及视空间功能好，听力正常，可正确判断非词语声，能分辨是否家人及熟人的声音，但不理解他们说话的内容，应与纯词聋及听失认鉴别，同时试讨论其产生的机制。

One Case f Transcortical Sensory Aphasia with Prominent Semantic Comprehension Disorder

The paper reports one case patient of transcortical sensory aphasia with prominent semantic comprehension disorder. Clinical features were fluent aphasic output, serious auditory comprehension disorder,anomia and prominent disorder in word-lexical level comprehension. Repetition was a little difficult and was remarkably better than other test. There was serious alexia with agraphia, however, copy, series writing, visual spatial function and calculation were intact. His audition was norma1. He could distinguish not only non-word and non-verbal sound but also family member's and acquaintance's sound, but he couldn't understand their talking content. It should be distinguished from pure word-deafness and auditory agnosia- Moreover, we tried to discuss its mechanism.