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皮质基底节综合征患者对量词的言语理解受损。

Impaired verbal comprehension of quantifiers in corticobasal syndrome.

机构信息

Department of Neurology, 2 Gibson, Hospital of the University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104-4283, USA.

出版信息

Neuropsychology. 2011 Mar;25(2):159-65. doi: 10.1037/a0021448.

DOI:10.1037/a0021448
PMID:21381823
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3078646/
Abstract

OBJECTIVE

Patients with Corticobasal Syndrome (CBS) have atrophy in posterior parietal cortex. This region of atrophy has been previously linked with quantifier comprehension difficulty, but previous studies employed visual stimuli, making it difficult to account for potentially confounding visuospatial deficits in CBS patients. The current study evaluated comprehension of generalized quantifiers using strictly verbal materials.

METHOD

Non-aphasic CBS patients, a brain-damaged control group (consisting of patients with Alzheimer's disease and frontotemporal dementia), and age-matched healthy controls participated in this study. We assessed familiar temporal, spatial, and monetary domains of verbal knowledge comparatively. Judgment accuracy was only evaluated in statements for which patients demonstrated accurate factual knowledge about the target domain.

RESULTS

We found that patients with CBS are significantly impaired in their ability to evaluate quantifiers when compared to healthy seniors and a brain-damaged control group, even in this strictly verbal task. This impairment was seen in the vast majority of individual CBS patients.

CONCLUSIONS

These findings offer additional evidence of quantifier impairment in CBS patients and emphasize that this impairment cannot be attributed to potential visuo spatial processing impairments in patients with parietal disease.

摘要

目的

皮质基底节综合征(CBS)患者的后顶叶皮层有萎缩。该萎缩区域以前与量词理解困难有关,但以前的研究采用了视觉刺激,这使得难以解释 CBS 患者潜在的视觉空间缺陷。本研究使用严格的语言材料评估了广义量词的理解。

方法

非失语性 CBS 患者、脑损伤对照组(包括阿尔茨海默病和额颞叶痴呆患者)和年龄匹配的健康对照组参与了这项研究。我们比较了熟悉的时间、空间和货币领域的语言知识。只有在患者对目标域有准确的事实知识的陈述中,才评估判断准确性。

结果

我们发现,与健康老年人和脑损伤对照组相比,CBS 患者在评估量词的能力方面存在显著障碍,即使在这种严格的语言任务中也是如此。这一障碍在绝大多数个别 CBS 患者中都存在。

结论

这些发现为 CBS 患者的量词障碍提供了额外的证据,并强调这种障碍不能归因于患有顶叶疾病的患者潜在的视觉空间处理障碍。

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Numerosity impairment in corticobasal syndrome.皮质基底节综合征的数字数量障碍。
Neuropsychology. 2010 Jul;24(4):476-92. doi: 10.1037/a0018755.
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Primary progressive aphasia: clinicopathological correlations.原发性进行性失语症:临床病理相关性。
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Is it logical to count on quantifiers? Dissociable neural networks underlying numerical and logical quantifiers.依靠量词是否合理?数字量词和逻辑量词背后的可分离神经网络。
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Nat Rev Neurosci. 2007 Dec;8(12):976-87. doi: 10.1038/nrn2277.
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Screening for frontotemporal dementias and Alzheimer's disease with the Philadelphia Brief Assessment of Cognition: a preliminary analysis.使用费城简易认知评估量表筛查额颞叶痴呆和阿尔茨海默病:一项初步分析。
Dement Geriatr Cogn Disord. 2007;24(6):441-7. doi: 10.1159/000110577. Epub 2007 Oct 30.
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