Cancelliere A E, Kertesz A
St. Joseph's Hospital, London, Ontario, Canada.
Brain Cogn. 1990 Jul;13(2):133-47. doi: 10.1016/0278-2626(90)90046-q.
This study investigated the relationship between intrahemispheric location of lesion and disturbances of emotional expression and comprehension. Twenty-eight right hemisphere strokes, 18 left hemisphere strokes, and 20 controls were examined on a standardized test of the expression, repetition, and comprehension of emotional prosody as well as the visual recognition of emotional situations and faces. The patients were classified into aprosodic syndromes according to the test scores. The lesions were independently traced, and overlapped for each aprosodic syndrome. The results, for lesions in either hemisphere, indicated involvement of the basal ganglia most frequently in aprosodic syndromes followed by anterior temporal lobe and insula lesions. Basal ganglia damage was also seen most frequently in patients with impaired comprehension of emotional facial expressions and situations. The anterior temporal lobe was also frequently involved in patients with such deficits. The basal ganglia emerged as a structure of particular importance in the mediation of emotional expression and comprehension.
本研究调查了脑损伤的半球内位置与情绪表达及理解障碍之间的关系。对28例右半球中风患者、18例左半球中风患者和20名对照者进行了一项标准化测试，内容包括情绪韵律的表达、重复和理解，以及对情绪情境和面孔的视觉识别。根据测试分数将患者分为失韵律综合征。对损伤进行独立追踪，并针对每种失韵律综合征进行重叠分析。结果表明，对于任一脑半球的损伤，在失韵律综合征中最常受累的是基底神经节，其次是颞叶前部和岛叶损伤。在情绪面部表情和情境理解受损的患者中，基底神经节损伤也最为常见。颞叶前部在有此类缺陷的患者中也经常受累。基底神经节在情绪表达和理解的调节中成为一个特别重要的结构。
