Alexia without agraphia in a composer.
Alexia without agraphia in a composer.
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作曲家没有失写症的亚历克西娅。
DOI：
10.1093/brain/106.2.435
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发表时间：
1983
期刊：
影响因子：
--
通讯作者：
Geschwind,N
中科院分区：
文献类型：
--
作者：
Judd,T;Gardner,H;Geschwind,N
一位 77 岁的作曲家患有左枕叶出血性梗塞，导致严重的阅读障碍，但他的字迹保存完好，但没有明显的失语症。他继续阅读音乐并作曲。他在不同条件下的文本和音乐阅读表现表明，这种不寻常的分离主要是由于四个因素造成的。 (1) 他在音乐方面具有非凡的天赋，并且对他正在阅读的音乐有很多推断。 (2)五线谱的符号比拼音语言书写系统的符号在视觉上更显着。 (3)五线谱中，音高是按顺序表示的，其他符号也通过其相对位置和大小来区分。 (4) 乐谱可以通过声学、动觉或形式音乐概念的解释来有效地阅读；与书面语言相反，它不需要进行参考或听觉-语言图像的解释。他的疾病符合经典的视觉-语言脱节的失读症解释，也符合当代的观点，即音乐涉及一系列相关但不同的技能，可能涉及两个半球的许多大脑区域，尽管不同的皮层区域对不同的音乐行为做出了独特的贡献。
A 77-year-old composer had a left occipital lobe haemorrhagic infarct giving him a severe reading disturbance with well-preserved writing and without appreciable aphasia. He continued to read music and to compose. His text- and music-reading performance under different conditions suggests that this unusual dissociation was primarily due to four factors. (1) He was unusually talented musically and inferred a great deal about the music he was reading. (2) The symbols of staff music notation are more visually distinctive than the symbols of phonetic language writing systems. (3) In staff music notation, pitch is represented ordinally, and other symbols are also distinguishable by their relative positions and sizes. (4) Music notation can be usefully read by interpreting it acoustically, kinaesthetically or in terms of formal musical concepts; in contrast to written language, it need not be interpreted referentially or in terms of auditory-verbal images. His disorder fits the classic visual-verbal disconnection account of alexia without agraphia and the contemporary view that music involves a family of related but distinct skills probably involving many brain areas in both hemispheres, although different cortical areas make characteristic contributions to different musical behaviours.