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[急性脑病后额叶和颞叶功能障碍儿童的神经心理学和神经放射学评估]

[Neuropsychological and neuroradiological evaluation of a child with frontal and temporal lobe dysfunction following acute encephalopathy].

作者信息

Mimaki Masakazu, Uno Akira, Fukumizu Michio, Haruhara Noriko

机构信息

Department of Child Neurology, National Center Hospital for Mental, Nervous and Muscular Disorder, Kodaira, Tokyo.

出版信息

No To Hattatsu. 2002 May;34(3):268-73.

Abstract

A 12-year-old boy showed abnormalities of higher brain functions following acute encephalopathy, in spite of almost normal intelligence. Neuropsychological tests and ordinary intelligence tests could clearly demonstrated his visual and auditory memory impairment and frontal lobe dysfunction. Brain magnetic resonance imaging showed lesions of the bilateral-temporal lobes, and single photon emission tomography showed reduced cerebral blood flow in the temporal and frontal areas bilaterally. The distribution of the lesions was compatible with his clinical symptoms and with the results of the neuropsychological tests. The combination of neuropsychological and neuroradiological examinations is helpful for evaluating higher brain functions precisely. We should make better use of these examinations in determining the most appropriate treatment for patients, particularly children with higher brain dysfunction.

摘要

一名12岁男孩在患急性脑病后出现了高级脑功能异常,尽管其智力几乎正常。神经心理学测试和普通智力测试清楚地显示出他的视觉和听觉记忆受损以及额叶功能障碍。脑磁共振成像显示双侧颞叶有病变,单光子发射断层扫描显示双侧颞叶和额叶区域的脑血流量减少。病变的分布与他的临床症状以及神经心理学测试结果相符。神经心理学和神经放射学检查相结合有助于精确评估高级脑功能。在确定对患者,尤其是患有高级脑功能障碍的儿童最合适的治疗方法时,我们应更好地利用这些检查。

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