Payne Bertram R, Rushmore R Jarrett
Cerebral Dynamics, Rehabilitation and Plasticity, Department of Anatomy and Neurobiology, Boston University School of Medicine, MA 02118, USA.
Neuroscientist. 2003 Dec;9(6):446-54. doi: 10.1177/1073858403256689.
The purpose of this perspective is twofold: 1) to alert and inform the neurospychology and neurology communities on how animal models can improve our understanding of spatial neglect in humans, and 2) to serve as a guide to rehabilitation strategies. Spatial neglect is a neurological syndrome that is inextricably linked to the ability to overtly or covertly reorient attention to new loci. Literature describing variants of neglect leads to the perception of lesion-induced neglect as a uniquely human syndrome for which there are limited treatment options. To the contrary, neglect has been reversed in laboratory animals, and results show that adequate neural representations and motor mechanisms for reversal are present despite damaged or deactivated cerebral cortex. These results and conclusions provoke thought on strategies that can be employed on humans to cancel neglect, and they suggest that long-term amelioration of neglect can be induced by training of specific bypass circuits.
1)提醒并告知神经心理学和神经学领域的专业人士,动物模型如何能增进我们对人类空间忽视症的理解;2)作为康复策略的指南。空间忽视症是一种神经综合征,与公开或隐蔽地将注意力重新定向到新位置的能力有着千丝万缕的联系。描述忽视症变体的文献让人觉得,由损伤引起的忽视症是一种独特的人类综合征,治疗选择有限。相反,实验室动物中的忽视症已经得到扭转,结果表明,尽管大脑皮层受损或失活,但仍存在用于扭转忽视症的足够神经表征和运动机制。这些结果和结论促使人们思考可用于人类消除忽视症的策略,并且表明通过训练特定的旁路回路可以诱导忽视症的长期改善。