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异肢感与异觉。存在误解吗?

Allochiria vs allesthesia. Is there a misperception?

作者信息

Meador K J, Allen M E, Adams R J, Loring D W

机构信息

Department of Neurology, Medical College of Georgia, Augusta 30912.

出版信息

Arch Neurol. 1991 May;48(5):546-9. doi: 10.1001/archneur.1991.00530170110029.

Abstract

Allochiria is the mislocation of sensory stimuli to the corresponding opposite half of the body or space. Obersteiner (1882) introduced the term allochiria (Greek allos = other + chiria = hand), and more than 20 authors employed it in this context over the next 25 years. Stewart (1894) described a related phenomenon in which stimuli are displaced to a different point on the same extremity. He noted that the displacements were different than allochiria and coined the term allachaesthesia (ie, allesthesia) (Greek allaché = elsewhere + aisthésis = perception). Despite this historical background, Jones (1907) redefined both terms in an attempt to increase diagnostic specificity and attributed allochiria to hysteria. Jones' reinterpretation does not appear to be justified historically, etymologically, or scientifically and has resulted in contradictory definitions of allochiria and allesthesia in present-day medical dictionaries and neurologic textbooks. We advocate a return to usage consistent with the original descriptions and word derivations.

摘要

异肢感觉是指感觉刺激错位于身体或空间相应的对侧。奥伯施泰纳(1882年)引入了“异肢感觉”一词(希腊语allos意为“其他的”,chiria意为“手”),在接下来的25年里,有20多位作者在这一语境中使用了该词。斯图尔特(1894年)描述了一种相关现象,即刺激被移位到同一肢体的不同点上。他指出,这种移位不同于异肢感觉,并创造了“异处感觉”(即“别位感觉”)一词(希腊语allaché意为“别处”,aisthésis意为“感觉”)。尽管有这一历史背景,琼斯(1907年)重新定义了这两个术语,试图提高诊断特异性,并将异肢感觉归因于癔症。琼斯的重新解释在历史、词源或科学上似乎都没有依据,并且导致了当今医学词典和神经学教科书中异肢感觉和别位感觉的定义相互矛盾。我们主张回归与最初描述和词源一致的用法。

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