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额叶损伤患者的记忆与认知。

Remembering and knowing in patients with frontal lobe injuries.

作者信息

Wheeler Mark A, Stuss Donald T

机构信息

Department of Psychology, Temple University, Philadelphia, PA 19122, USA.

出版信息

Cortex. 2003 Sep-Dec;39(4-5):827-46. doi: 10.1016/s0010-9452(08)70866-9.

Abstract

Two experiments compared the performance of patients with pathology restricted to the prefrontal cortex to healthy controls on recognition tests that were followed by the remember/know procedure. Across both experiments, patients recognized roughly as many target items as control participants. Injuries centered in the frontal poles resulted in deficits that were selective to episodic remembering while apparently sparing semantic knowing. Patients with lesions restricted to dorsolateral prefrontal cortex were not impaired at either remembering or knowing. Results demonstrate a dissociation of cognitive function within the prefrontal cortex, and suggest that episodic remembering may share a family resemblance with other neurocognitive functions dependent upon polar aspects of the frontal lobes, such as self-recognition, anticipation, and planning.

摘要

两项实验比较了前额叶皮质仅出现病变的患者与健康对照者在采用“记得/知道”程序的识别测试中的表现。在这两项实验中,患者识别出的目标项目数量与对照参与者大致相同。以额极部位为中心的损伤导致了对情景记忆有选择性的缺陷,而语义记忆显然未受影响。病变局限于背外侧前额叶皮质的患者在记忆或认知方面均未受损。结果表明前额叶皮质内存在认知功能的分离,并表明情景记忆可能与其他依赖额叶极部的神经认知功能(如自我识别、预期和计划)存在家族相似性。

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