Graff-Radford N R, Biller J
Department of Neurology, Mayo Clinic Jacksonville, Florida.
Psychiatr Clin North Am. 1992 Jun;15(2):415-25.
The role that stroke patients have played in the history of behavioral neurology was illustrated by describing some contributions made by Broca, Dejerine, Wilbrand, Liepman, and Geschwind. The recent work on the anatomic basis of recovery or lack of recovery in aphasia was discussed and the network of structures important in attention were reviewed. The study of stroke patients with amnestic syndromes (particularly those with basal forebrain and diencephalic lesions) was discussed as well. Starting with Liepman's classic contribution, and then looking at more recent studies, the left hemisphere's role in limb praxis was analyzed. The different syndromes that result when the superior and inferior visual association cortices are damaged were described and illustrated. A summary of neurobehavioral syndromes related to stroke that may present to the psychiatrist because the patient does not have an hemiparesis was given. The relationship of stroke to dementia and depression was reviewed.
通过描述布罗卡、德热里纳、威尔布兰德、利普曼和盖施温德所做出的一些贡献，阐述了中风患者在行为神经学史上所起的作用。讨论了近期关于失语症恢复或未恢复的解剖学基础的研究，并回顾了在注意力方面重要的结构网络。还讨论了对患有遗忘综合征（特别是那些患有基底前脑和间脑病变的患者）的中风患者的研究。从利普曼的经典贡献开始，然后着眼于近期研究，分析了左半球在肢体运用中的作用。描述并举例说明了上、下视觉联合皮层受损时所导致的不同综合征。给出了与中风相关的、可能因患者没有偏瘫而就诊于精神科医生的神经行为综合征的总结。回顾了中风与痴呆和抑郁的关系。
