Gadea-Doménech M, Espert-Tortajada R
Departamento de Psicobiología, Facultad de Psicología, Universidad de Valencia,Valencia, Spain.
Rev Neurol. 2004;39(1):74-80.
To review the most recent data regarding clinical applications of the dichotic listening technique in neurology and neuropsychiatry.
The technique is described, in addition to the two main cognitive abilities we can measure with it. First, language lateralization, following Kimura's model as an anatomical explanation of the right ear advantage effect. Second, the attentional function, including Kinsbourne's model and the forced attention paradigm from Hugdahl as a valuable working tool to evaluate selective attention and executive functions. In subsequent sections, a review is offered respecting both types of cognitive processes for schizophrenia, depression, dyslexia and Multiple Sclerosis, along with data from our laboratory regarding the last illness.
The dichotic listening is a useful technique to evaluate the integrity of the temporal and frontal lobes, as well as the interhemispheric communication across the corpus callosum. Application to the clinical practice pretends to incorporate it to the diagnostic, to the description of the pathologies profiles and also to the prediction of illness course, resulting promising in some cases although with reasonable limits while looking for additional research.
回顾关于双耳分听技术在神经病学和神经精神病学临床应用的最新数据。
除了我们可以用该技术测量的两种主要认知能力外，还对该技术进行了描述。第一，语言侧化，遵循木村模型，作为对右耳优势效应的解剖学解释。第二，注意力功能，包括金斯伯恩模型以及胡格达尔提出的强迫注意范式，作为评估选择性注意和执行功能的重要工具。在后续章节中，针对精神分裂症、抑郁症、诵读困难症和多发性硬化症，对这两种认知过程进行了综述，并提供了来自我们实验室关于最后一种疾病的数据。
双耳分听是评估颞叶和额叶完整性以及胼胝体半球间通信的有用技术。在临床实践中的应用旨在将其纳入诊断、疾病特征描述以及病程预测，尽管在寻求更多研究时有合理的局限性，但在某些情况下仍颇具前景。
