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[半球间传递及其对神经病学和精神病学的影响]

[Interhemispheric transfer and its implications for neurology and psychiatry].

作者信息

von Richthofen S, Tabrizian S, Grabe H J, Meyer B-U

机构信息

Klinik für Psychiatrie und Psychotherapie des Universitätsklinikums Eppendorf, Hamburg.

出版信息

Fortschr Neurol Psychiatr. 2003 Sep;71(9):449-57. doi: 10.1055/s-2003-42189.

Abstract

The corpus callosum (CC) is the brain's most important connection between cortical areas of both hemispheres. Due to the hemispheric lateralisation of brain function, information transfer between both hemispheres is vital for an optimal performance in tasks, in which several psycho-motor functions have to be integrated. Dysfunction of the CC can lead to deficits in neuropsychological tasks and could contribute to pathologies underlying psychiatric illnesses. In this review the normal and abnormal development of the CC as well as its macro- and microscopic anatomy will be outlined. Then the detrimental effects of operative callosomy on different modalities, e. g. on vision, the somatosensory and the auditory system, will be discussed. Two electrophysiological methods will be introduced, with which interhemispheric communication can be studied: hemispheric transfer in rapid visuo-motoric tasks (CUD) and transcallosal inhibition (TI), a phenomenon which occurs in a special paradigm of transcranial magnetic stimulation. A first study found TI to be reduced in unmedicated schizophrenic patients. This suggests that an inhibition between motor cortices could be reduced in schizophrenic patients. Further results of other studies, which have analysed the CC and interhemispheric transfer in schizophrenic patients, will be introduced and discussed. In future experiments, the contribution of dysfunctions of transcallosal transfer to psychopathological symptoms and neuropsychological deficits in schizophrenia should be studied.

摘要

胼胝体(CC)是大脑两半球皮质区域之间最重要的连接结构。由于大脑功能的半球侧化,两半球之间的信息传递对于需要整合多种心理运动功能的任务的最佳表现至关重要。胼胝体功能障碍可导致神经心理任务缺陷,并可能促成精神疾病的潜在病理状况。在本综述中,将概述胼胝体的正常和异常发育及其大体和微观解剖结构。然后将讨论胼胝体切开术对不同模态(如视觉、体感和听觉系统)的有害影响。将介绍两种可用于研究半球间通信的电生理方法:快速视觉运动任务中的半球转移(CUD)和胼胝体抑制(TI),后者是经颅磁刺激的一种特殊范式中出现的现象。第一项研究发现,未服药的精神分裂症患者的TI降低。这表明精神分裂症患者运动皮层之间的抑制可能减弱。将介绍并讨论其他分析精神分裂症患者胼胝体和半球间转移的研究的进一步结果。在未来的实验中,应研究胼胝体转移功能障碍对精神分裂症心理病理症状和神经心理缺陷的影响。

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