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局部腦病變與語言障礙

Focal Brain Lesions and Language Dysfunction

摘要


神經科醫師不懂心智(行爲)科學,就好比泌尿科醫師不懂「性」一樣不可思議。本文嘗試以localization of cognitive function/dysfunction的方式著手,探討局部腦病變與語官障礙之對應關係。從split-brain, hemispheric asymmetry, cerebral dominance, 到dysarthria, pure word dumbness, pure word deafness (verbal auditory agnosia), pure agraphia, pure word blindness (pure alexia; visual word agnosia) 等,再進入aphasia, aprosodia的討論。希望藉由多領域專有名詞的介紹,諸君能了解部份有關內涵;同時經熟悉相關的terminology之後,能自由地涉獵語官病理學與行爲神經學,不再覺得生澀。

並列摘要


To be a neurologist, training in cognitive/behavioral neuroscience is essential. In this review article, the author tries to emphasize the localization relationship between focal brain lesions and language dysfunction, by discussing from split-brain syndromes, hemispheric asymmetry, to pure word dumbness, pure word deafness (verbal auditory agnosia), pure agraphia, and pure word blindness (pure alexia; visual word agnosia), and finally to aphasia and aprosodia in general. Hopefully, after getting familiar with all the terms, the readers will feel free exploring language disturbances and behavioral neurology for their own interests.

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