. Medical and surgical therapy . isorders of speech, arise from wounds inflictedby a bullet or shell-splinter which have necessitatedtrephining. In some cases, however, the aphasia hasbeen caused by direct contusion of the left hemispherethrough a fall or by shock caused by explosion at adistance. It is important to note that, in certain cases inwhich the lesion was in the right temporo-parietal lobe,the disturbances were slight, and were almost entirelyconfined to dysarthria, associated with some degree ofobnubilation, a condition which is of little importance,and may persist for a variable t
. Medical and surgical therapy . isorders of speech, arise from wounds inflictedby a bullet or shell-splinter which have necessitatedtrephining. In some cases, however, the aphasia hasbeen caused by direct contusion of the left hemispherethrough a fall or by shock caused by explosion at adistance. It is important to note that, in certain cases inwhich the lesion was in the right temporo-parietal lobe,the disturbances were slight, and were almost entirelyconfined to dysarthria, associated with some degree ofobnubilation, a condition which is of little importance,and may persist for a variable time in any case of ahead wound. If the wound affects the left side ofthe brain, disorders of speech are the rule ; at any rate,they persist for a variable time during the course of 672 WOUNDS OF THE BRAIN the case, and behave differently according to the siteof the cerebral lesion. Aphasic Troubles in relation to the SiteOF THE Wound The following paragraphs are a summary of theclinical and radiographic researches carried out by. jTjQ \Q^—Radiographic localisation of wounds of the skull, with thesubjacent lesions which cause the different varieties of troubles ofspeech (Pierre Marie, Ch. Foix, and Bertrand). A, zone without troubles of speech ; B, dysarthria or .anarthria; C,complete aphasia ; D, aphasia, predominant in denomination ofobjects ; E, predominant alexia. MM. Pierre Marie and Ch. Foix at the neurologicalcentre at the Salpetriere, which will be the subject ofan important work by these writers.^ 1 A communication on this subject has been made to the combinedsession of the Societe National de Chirurgie and the Societe de Neurologiede Paris on the 24th May 1916, by M. Ch. Foix, from which the datagiven in this chapter are borroiVed. {Revue Neurologiqiie, No. 6, 1916,p. 827.) APHASIA 673 Wounds of the central region: the ascending frontal andascending parietal convolutions.—If the wound is in thesuperior portion of the convolutions near the para-central lobule there
Size: 1837px × 1361px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918
