{"id":133482,"date":"2026-01-12T15:53:14","date_gmt":"2026-01-12T15:53:14","guid":{"rendered":"https:\/\/www.europesays.com\/se\/133482\/"},"modified":"2026-01-12T15:53:14","modified_gmt":"2026-01-12T15:53:14","slug":"5-fragor-till-gustaf-westberg-lakartidningen","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/se\/133482\/","title":{"rendered":"5 fr\u00e5gor till Gustaf Westberg \u2013 L\u00e4kartidningen"},"content":{"rendered":"<p>\t\t\t\t\t<img alt=\"\" class=\"MediaWrapper-content BodyImage-imageObject\" src=\"https:\/\/www.europesays.com\/se\/wp-content\/uploads\/2026\/01\/portattbild-gustaf-westerberg.jpg\" data-lazy-load-target=\"content\" width=\"400\" height=\"500\" loading=\"lazy\" decoding=\"async\" fetchpriority=\"auto\"\/><\/p>\n<p><strong>Vad var den viktigaste faktorn f\u00f6r att uppt\u00e4cka tillst\u00e5ndet?\u00a0<\/strong><\/p>\n<p>\n\t\tAnnons\t\t\t<\/p>\n<p>\t\t<a href=\"https:\/\/www.agb-pharma.com\/pinealin?utm_source=lakartidningen&amp;utm_medium=banner&amp;utm_campaign=E-F\" data-ad-target=\"link\" class=\"Ad-content\" rel=\"sponsored nofollow noopener\" target=\"_blank\"><\/p>\n<p>\t\t\t\t<img alt=\"Annons\" class=\"MediaWrapper-content Ad-image\" src=\"https:\/\/www.europesays.com\/se\/wp-content\/uploads\/2026\/01\/1768233194_242_pinealin-1404x720-lt.gif\" data-lazy-load-target=\"content\" width=\"468\" height=\"240\" loading=\"lazy\" decoding=\"async\" fetchpriority=\"auto\"\/><\/p>\n<p>\t\t<\/a><\/p>\n<p>\u2013\u2009Utan att f\u00f6rs\u00f6ka l\u00e5ta skrytsam skulle jag s\u00e4ga att k\u00e4nna till tillst\u00e5ndet var den viktigaste faktorn. Den eftermiddag jag tr\u00e4ffade patienten hade jag dessutom ganska lugnt p\u00e5 avdelningen, varf\u00f6r jag \u00e4gnade mig lite extra \u00e5t att unders\u00f6ka b\u00e5de l\u00e4s- och skrivf\u00f6rm\u00e5ga, och d\u00e5 lyckades jag diagnostisera patienten!<\/p>\n<p><strong>Kan patienten f\u00e5 tillbaka l\u00e4sf\u00f6rm\u00e5gan?<\/strong><\/p>\n<p>\u2013\u2009Enligt den litteratur jag kan hitta verkar det vara v\u00e4ldigt spridd prognos vad g\u00e4ller \u00e5terkomst av l\u00e4sf\u00f6rm\u00e5ga vid alexi utan agrafi, men just denna patienten fick jag faktiskt h\u00f6ra hade \u00e5terf\u00e5tt l\u00e4sf\u00f6rm\u00e5gan spontant efter endast ett par veckor.<\/p>\n<p><strong>Finns det alltid neurologiska fynd, till exempel synf\u00e4ltsbortfall?\u00a0<\/strong><\/p>\n<p>\u2013\u2009En snabb s\u00f6kning i litteraturen avsl\u00f6jar att det finns fallrapporter av patienter med endast alexi utan agrafi, utan exempelvis samtida hemianopsi, men det verkar vara oerh\u00f6rt ovanligt. Gneiber et al 2025 beskriver isolerad alexi utan agrafi, utan n\u00e5gra som helst andra symtom, i en pinf\u00e4rsk artikel i tidsskriften Cureus fr\u00e5n augusti.<\/p>\n<p><strong>Hur vanligt \u00e4r alexi utan agrafi? \u00a0<\/strong><\/p>\n<p>\u2013\u2009Jag har sv\u00e5rt att hitta n\u00e5gra siffror avseende prevalens av alexi utan agrafi, vilket i litteraturen anges vara ett \u00bbmycket ovanligt tillst\u00e5nd\u00ab. Jag skulle misst\u00e4nka att tillst\u00e5ndet \u00e4r underdiagnostiserat, d\u00e5 det \u00e4r ovanligt att patienter unders\u00f6ks i den detalj att diagnosen kan st\u00e4llas.<\/p>\n<p><strong>Vilka kunskapsluckor finns om tillst\u00e5ndet?\u00a0<\/strong><\/p>\n<p>\u2013 Stora, knappt en enda kollega k\u00e4nde till tillst\u00e5ndet vid f\u00f6rfr\u00e5gan. Jag skulle dock misst\u00e4nka att de flesta l\u00e4kare hade startat en strokeutredning p\u00e5 en patient med omedelbar of\u00f6rm\u00e5ga att l\u00e4sa, varf\u00f6r en stroke sannolikt hade uppdagats \u00e4nd\u00e5.\u00a0<\/p>\n<ul class=\"ContentItemList-items\">\n<p>\t\t\t\t\t<a href=\"https:\/\/lakartidningen.se\/vetenskap\/alexi-utan-agrafi-att-inte-kunna-lasa-vad-man-sjalv-har-skrivit\/\" class=\"Teaser Teaser--listItem Teaser--horizontal Teaser--mediaRight Teaser--scientific\" data-action=\"event#click\" data-content-item-id=\"383169\" data-content-item-type=\"scientific\" data-content-item-variant=\"standard\" data-event-name=\"teaser_click\" data-event-data=\"{&quot;includeContentItemData&quot;:true}\" data-content-item-category=\"Fallbeskrivning\" data-content-item-author=\"Gustaf Westerberg\" rel=\"nofollow noopener\" target=\"_blank\"><\/p>\n<p>\t\t\t\tAlexi utan agrafi \u2013 att inte kunna l\u00e4sa vad man sj\u00e4lv har skrivit\t<\/p>\n<p><\/a><\/p>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"Vad var den viktigaste faktorn f\u00f6r att uppt\u00e4cka tillst\u00e5ndet?\u00a0 Annons \u2013\u2009Utan att f\u00f6rs\u00f6ka l\u00e5ta skrytsam skulle jag s\u00e4ga&hellip;\n","protected":false},"author":2,"featured_media":133483,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14],"tags":[22,23,26,27,17,21,24,25,28,29,15,16,18,34,31,33,32,30,19,20,51,52,53,54],"class_list":{"0":"post-133482","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-varlden","8":"tag-breaking-news","9":"tag-breakingnews","10":"tag-featured-news","11":"tag-featurednews","12":"tag-headlines","13":"tag-huvudnyheter","14":"tag-latest-news","15":"tag-latestnews","16":"tag-main-news","17":"tag-mainnews","18":"tag-news","19":"tag-nyheter","20":"tag-rubriker","21":"tag-se","22":"tag-svenska","23":"tag-sverige","24":"tag-sweden","25":"tag-swedish","26":"tag-top-stories","27":"tag-topstories","28":"tag-varlden","29":"tag-world","30":"tag-world-news","31":"tag-worldnews"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@se\/115882937807061223","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/se\/wp-json\/wp\/v2\/posts\/133482","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/se\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/se\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/se\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/se\/wp-json\/wp\/v2\/comments?post=133482"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/se\/wp-json\/wp\/v2\/posts\/133482\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/se\/wp-json\/wp\/v2\/media\/133483"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/se\/wp-json\/wp\/v2\/media?parent=133482"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/se\/wp-json\/wp\/v2\/categories?post=133482"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/se\/wp-json\/wp\/v2\/tags?post=133482"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}