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子痫长期脑部并发症的神经心理学研究(作者译)

[Neuropsychological study of long-term cerebral complications of eclampsia (author's transl)].

作者信息

Sorgato P

出版信息

Riv Patol Nerv Ment. 1976 Nov-Dec;97(6):371-84.

PMID:1036434
Abstract

A review of the literature shows that long-lasting neurological complications of eclampsia are rare, but that, when present, they frequently involve visual function. Two patients are reported, whose symptomatology suggested damage to the posterior region of both cerebral hemispheres. The first patient showed a Balint's syndrome with complete inability to perceive more than one object at a time, erratic gaze movements and optic ataxia. After a year and half a marked improvement was observed. The second patient presented with severe of dyscalculia, spatial memory disorders, constructional apraxia and mild aphasia. She recovered completely in one year. This symptomatology might result from ischemic lesions in the watershed area between the territories of the middle and posterior cerebral arteries, the underlying mechanism being the compression of the posterior cerebral artery against the tentorium, caused by edema.

摘要

文献综述表明,子痫的长期神经并发症很少见,但一旦出现,常累及视觉功能。本文报告了两名患者,其症状提示双侧大脑半球后部区域受损。首例患者表现为巴林特综合征,一次只能感知一个以上物体,眼球运动不稳定及视觉性共济失调。一年半后观察到明显改善。第二例患者表现为严重失算、空间记忆障碍、结构性失用症和轻度失语症。她在一年内完全康复。这种症状可能是由于大脑中动脉和大脑后动脉供血区域之间分水岭区的缺血性病变所致,其潜在机制是由水肿引起的大脑后动脉被压向小脑幕。

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