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约翰·胡克林·杰克逊关于听觉先兆及听觉皮层定位的著作。

John Hughlings-Jackson's writings on the auditory aura and localization of the auditory cortex.

作者信息

Hogan R Edward, Kaiboriboon Kitti

机构信息

The Greater Midwest Epilepsy Treatment Center, Department of Neurology, Saint Louis University, St. Louis, Missouri 63104, U.S.A.

出版信息

Epilepsia. 2004 Jul;45(7):834-7. doi: 10.1111/j.0013-9580.2004.63303.x.

DOI:10.1111/j.0013-9580.2004.63303.x
PMID:15230709
Abstract

PURPOSE

To relate John Hughlings-Jackson's findings of the auditory aura to his ideas about the "dreamy state," and localization of primary auditory cortex.

METHODS

We reviewed Hughlings-Jackson's writings on the auditory aura and his integration of the auditory aura into his description of the "dreamy state." To integrate Hughlings-Jackson's postulations about the auditory aura and David Ferrier's localization of primary auditory cortex, we also reviewed Ferrier's localization of auditory cortex in animals.

RESULTS

Hughlings-Jackson described three cases of the auditory aura, which he integrated with his concept of the "dreamy state" (now known as mesial temporal epilepsy). In doing so, he described the current concept of elementary and complex auditory auras. Hughlings-Jackson also associated the auditory aura with seizures that began in the "auditory centre of Ferrier." Whereas Ferrier showed respect and admiration for Hughlings-Jackson's work as a whole, he did not integrate Hughlings-Jackson's ideas of localization of the auditory epileptic aura with his work in localizing the primary auditory cortex in animals.

CONCLUSIONS

Hughlings-Jackson outlined the modern concept of elementary and complex auditory auras and correctly correlated it with primary auditory cortex. The history of Hughlings-Jackson's auditory aura reflects the history of his ideas of epilepsy as a whole, which closely parallel our modern concepts of focal epilepsy.

摘要

目的

将约翰·胡克林·杰克逊关于听觉先兆的发现与其关于“梦幻状态”以及初级听觉皮层定位的观点联系起来。

方法

我们回顾了胡克林·杰克逊关于听觉先兆的著作,以及他将听觉先兆融入其对“梦幻状态”的描述之中的情况。为了将胡克林·杰克逊关于听觉先兆的假设与大卫·费里尔对初级听觉皮层的定位相结合,我们还回顾了费里尔在动物身上对听觉皮层的定位。

结果

胡克林·杰克逊描述了三例听觉先兆病例,并将其与他的“梦幻状态”(现称为内侧颞叶癫痫)概念相结合。在此过程中,他描述了当前关于简单和复杂听觉先兆的概念。胡克林·杰克逊还将听觉先兆与始于“费里尔听觉中枢”的癫痫发作联系起来。虽然费里尔对胡克林·杰克逊的整体工作表示尊重和钦佩,但他并未将胡克林·杰克逊关于听觉癫痫先兆定位的观点与他在动物身上定位初级听觉皮层的工作相结合。

结论

胡克林·杰克逊概述了简单和复杂听觉先兆的现代概念,并将其与初级听觉皮层正确关联起来。胡克林·杰克逊听觉先兆的历史反映了他关于癫痫的整体思想的历史,这与我们现代的局灶性癫痫概念非常相似。

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