Baird A, Papadopoulou K, Greenwood R, Cipolotti L
Department of Neuropsychology, National Hospital for Neurology and Neurosurgery, London, UK.
Brain Inj. 2005 Sep;19(10):811-7. doi: 10.1080/02699050500149213.
The aims of this pilot study were (1) to examine neuropsychological, particularly memory functions immediately after post-traumatic amnesia (PTA) resolution according to the Galveston Orientation and Amnesia Test (GOAT), and (2) to provide a preliminary exploration of pattern of performance on GOAT items across PTA duration.
Thirty-seven head injured patients were administered the Recognition Memory Tests on the day that PTA resolved. Formal neuropsychological assessment was conducted on average 10 days after PTA resolution.
All the patients in the series showed memory impairment which varied in severity but was typically characterized as global and severe. Deficits in executive and speed and attention functions were common. GOAT items relating to orientation were typically passed, while items concerning anterograde and retrograde recall were most commonly failed across all stages of PTA duration.
These findings suggest that reliance on memory performance as a measure of PTA is not ideal and highlight the need for further research of this issue.
本初步研究的目的是:(1)根据加尔维斯顿定向和遗忘测试(GOAT),在创伤后遗忘症(PTA)消退后立即检查神经心理学功能,尤其是记忆功能;(2)对PTA持续期间GOAT项目的表现模式进行初步探索。
37名头部受伤患者在PTA消退当天接受了识别记忆测试。在PTA消退后平均10天进行了正式的神经心理学评估。
该系列中的所有患者均表现出记忆障碍,严重程度各不相同,但通常表现为全面且严重。执行功能、速度和注意力功能缺陷很常见。与定向有关的GOAT项目通常能够通过,而在PTA持续的所有阶段中,涉及顺行和逆行回忆的项目最常无法通过。
这些发现表明,依赖记忆表现作为PTA的衡量标准并不理想,并突出了对此问题进行进一步研究的必要性。