[Binswanger's subcortical encephalopathy. Study of a case with predominant left hemispheric lesion (author's transl)].
We report the clinical and pathological study of a patient with vascular leucoencephalopathy almost restricted to the left posterior hemisphere. A 65 year--old right handed hypertensive woman has presented with a neuropsychological symptomatology of transcortical sensorial aphasia. We discuss the following points: 1) the patient's disease must be considered as Binswanger's subcortical encephalopathy despite the asymetric topography of the lesions ; 2) particular hemodynamic cerebral factors has possibly determined the asymetric nature of the disease ; 3) a lesion of the left temporo-parieto-occipital area that was strictly sub-cortical, with complete destruction of the posterior part of the arcuate fasciculus has presented with the clinical picture of a transcortical sensorial aphasia.
D000368:Aged; D001041:Aphasia, Wernicke / Q000209:etiology; D001921:Brain / Q000473:pathology*; D001927:Brain Diseases / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology / Q000523:psychology; D002560:Cerebrovascular Circulation; D003711:Demyelinating Diseases / Q000175:diagnosis* / Q000473:pathology / Q000523:psychology; D005260:Female; D006801:Humans; D002537:Intracranial Arteriosclerosis / Q000150:complications
Encéphalopathie sous-corticale de Binswanger. Etude d'un cas comportant une atteinte hémisphérique gauche nettement prédominante.