Dyukova G M, Glozman Z M, Titova E Y, Kriushev E S, Gamaleya A A
Department of Nervous Diseases, Sechenov Moscow Medical Academy, Moscow, Russia.
Neurosci Behav Physiol. 2010 Jul;40(6):593-602. doi: 10.1007/s11055-010-9301-9.
Clinical practice shows that right-hemisphere cerebral strokes are often accompanied by one speech disorder or another. The aim of the present work was to analyze published data addressing speech disorders in right-sided strokes. Questions of the lateralization of speech functions are discussed, with particular reference to the role of the right hemisphere in speech activity and the structure of speech pathology in right-hemisphere foci. Clinical variants of speech disorders, such as aphasia, dysprosody, dysarthria, mutism, and stutter are discussed in detail. Types of speech disorders are also discussed, along with the possible mechanisms of their formation depending on the locations of lesions in the axis of the brain (cortex, subcortical structures, stem, cerebellum) and focus size.
临床实践表明,右脑中风常伴有某种言语障碍。本研究的目的是分析已发表的关于右侧中风言语障碍的数据。讨论了言语功能的偏侧化问题,特别提及了右脑在言语活动中的作用以及右脑病灶处言语病理学的结构。详细讨论了言语障碍的临床变体,如失语症、韵律障碍、构音障碍、缄默症和口吃。还讨论了言语障碍的类型,以及根据脑轴(皮层、皮层下结构、脑干、小脑)病变位置和病灶大小其形成的可能机制。