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夏科氏病与失语症。

Charcot and aphasia.

作者信息

Bonduelle M, Goetz C G

出版信息

J Hist Neurosci. 1996 Aug;5(2):108-16. doi: 10.1080/09647049609525658.

DOI:10.1080/09647049609525658
PMID:11619038
Abstract

Whereas the beginning part of Charcot's career was occupied with a rigorous and unerring devotion to the anatomo-clinical method, his later career shared attention with physiologic and psychological analyses of hysteria. The seeming paradox between these differing approaches to neurologic study can be better understood by an analysis of Charcot's work on aphasia. This area of study grew out of Charcot's larger research effort on cerebral localization, but was not well known, because most of his lectures on aphasia were never widely published or distributed in either French or English. In analyzing aphasia, Charcot began with anatomic lesions, but gradually incorporated cases of hysterical aphasia, as evidence of dynamic lesions of the same brain areas. Although aphasia never represented a prominent area of study for Charcot, it held a particularly important place in his career first because it provided this transition between anatomic and physiologic approaches to neurologic research, and second because it permitted a natural two-way passage between the topics of cerebral localization and hysteria.

摘要

夏科职业生涯的初期专注于严谨且无误地投身于解剖临床方法,而他后期的职业生涯则将注意力同时放在了癔症的生理和心理分析上。通过分析夏科关于失语症的研究工作,能更好地理解神经学研究中这些不同方法之间看似矛盾的地方。这一研究领域源自夏科对大脑定位的更广泛研究,但并不广为人知,因为他关于失语症的大部分讲座从未以法语或英语广泛出版或传播。在分析失语症时,夏科从解剖学损伤入手,但逐渐纳入了癔症性失语症病例,作为同一脑区动态损伤的证据。尽管失语症对夏科来说从未成为一个突出的研究领域,但它在他的职业生涯中占据了特别重要的地位,首先是因为它为神经学研究中的解剖学和生理学方法之间提供了这种过渡,其次是因为它允许在大脑定位和癔症这两个主题之间自然地双向过渡。

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