J Korean Neurol Assoc > Volume 18(2); 2000 > Article
Journal of the Korean Neurological Association 2000;18(2): 211-214.
뇌량전방단절증후군 1예
최영빈, 김영인이이상봉이이광수
가톨릭대학교 의과대학 신경과학교실
Anterior Callosal Disconnection Syndrome - Case Report ?
Young- Bin Choi, M.D., Yeong-In Kim, M.D., Sang-Bong Lee, M.D., Kwang-Soo Lee, M.D.
Department of Neurology, The Catholic University of Korea
Abstract
It has been known that right ACA occlusions can cause callosal disconnection syndrome. A 61-year old right-handed man was admitted because of a left ACA occlusion. MRI showed infarction of the medial frontal cortex and the anteri-or two-thirds of the corpus callosum. He presented with weakness and gait initiation failure in the right leg with grasp reflex, suspicious alien hand sign, and tactile anomia in the right hand. He was diagnosed with transcortical motor aphasia. He was unable to successfully complete written tasks in response to dictations and writing down spontaneous answers. He wrote down incorrect words and demonstrated paragraphism with his left hand. He could copy simple items but not written words and complex items with his left hand. Finally, he had difficulties in writing answers in response to complex verbal and written commands with his left hand, but preserved the ability to simple verbal com-mands, somato-sensory, and visually guided tasks. We attribute these results to the anterior callosal disconnection of the right sensorimotor cortex from the left language area. J Korean Neurol Assoc 18(2):211~214, 2000 Key Words : Anterior cerebral artery, Corpus callosum, Infarction


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