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额颞叶痴呆额叶变异型与语义性痴呆的神经心理学。专题论文介绍:第二部分。

The neuropsychology of frontal variant frontotemporal dementia and semantic dementia. Introduction to the special topic papers: Part II.

作者信息

Hodges J R, Miller B

机构信息

University Department of Neurology, Addenbrooke's Hospital, Cambridge CB2 2QQ and Cognition and Brain Sciences Unit, 15 Chaucer Road, Cambridge CB2 2EF, UK.

出版信息

Neurocase. 2001;7(2):113-21. doi: 10.1093/neucas/7.2.113.

Abstract

The second part of this review, which accompanies 10 special topic articles dedicated to frontotemporal dementia (FTD), describes some of the advances in understanding frontal variant FTD (fvFTD) and semantic dementia, and the theoretical insights gained into normal cognitive processes from the study of these syndromes. Recent work has clarified the neuropsychiatric features that distinguish fvFTD from Alzheimer's and has begun to spread light on the underlying deficits in social judgement, theory of mind, processing of emotional stimuli and decision making. With regard to central aspects of cognitive processing, such as memory, patients with fvFTD may have a distinctive profile of performance on tests of explicit and implicit memory, and contrary to current views some patients may even have a severe amnesic syndrome. There is also growing evidence that despite relatively well preserved general language skills, patients with fvFTD have particular problems with verb processing. Although there is agreement regarding the key features of semantic dementia, much controversy has surrounded the issue of whether the cognitive findings favour an explanation in terms of progressive breakdown of a central amodal semantic store or differential involvement of verbal and non-verbal systems. Other topics discussed include the impact of semantic breakdown on phonological processes and episodic memory. We also review recent structural and functional neuroimaging findings in semantic dementia.

摘要

本综述的第二部分,与10篇关于额颞叶痴呆(FTD)的专题文章一同呈现,描述了在理解额颞叶变异型FTD(fvFTD)和语义性痴呆方面取得的一些进展,以及从对这些综合征的研究中获得的关于正常认知过程的理论见解。近期的研究已经明确了区分fvFTD与阿尔茨海默病的神经精神特征,并开始揭示社会判断、心理理论、情绪刺激处理和决策方面潜在的缺陷。关于认知处理的核心方面,如记忆,fvFTD患者在显性和隐性记忆测试中可能表现出独特的特征,与当前观点相反,一些患者甚至可能患有严重的遗忘综合征。越来越多的证据表明,尽管fvFTD患者的一般语言技能相对保留良好,但他们在动词处理方面存在特殊问题。虽然对于语义性痴呆的关键特征存在共识,但关于认知结果支持中枢无模态语义存储逐渐崩溃的解释还是言语和非言语系统的不同参与这一问题存在很多争议。讨论的其他主题包括语义崩溃对语音过程和情景记忆的影响。我们还回顾了近期语义性痴呆的结构和功能神经影像学研究结果。

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