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[不同类型脑萎缩中高级神经活动障碍的比较评估]

[Comparative evaluation of disorders of higher nervous activity in various types of cerebral atrophy].

作者信息

Damulin I V, Iakhno N N, Goncharov O A

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1990;90(9):35-8.

PMID:2176039
Abstract

Altogether 55 patients of the elderly and senile age with chronic cerebrovascular insufficiency underwent neuropsychological examinations according to A. R. Luria's techniques. Based on the volumetric CT-parameters the patients were distributed into 4 groups: with minimum atrophic alterations, external, internal and mixed types of cerebral atrophy (CA). The most pronounced disorders of higher cerebral functions were revealed in patients with the internal and mixed types of CA. The characteristic feature of the neuropsychological disorders in the examined patients with dementia was the domination of the signs of frontal brain dysfunction. The data obtained attest to the leading part of the pathology of profound structures of the brain and their relations to the frontal parts in the genesis of the neurological and neuropsychological disorders in elderly and senile patients with chronic cerebrovascular insufficiency.

摘要

共有55例患有慢性脑血管功能不全的老年和高龄患者按照A.R.卢里亚的技术进行了神经心理学检查。根据容积CT参数,患者被分为4组:脑萎缩改变最小、外部型、内部型和混合型脑萎缩(CA)。内部型和混合型CA患者出现了最明显的高级脑功能障碍。在所检查的痴呆患者中,神经心理障碍的特征是额叶脑功能障碍体征占主导。获得的数据证明了脑深部结构的病理及其与额叶部分的关系在患有慢性脑血管功能不全的老年和高龄患者神经和神经心理障碍发生过程中的主导作用。

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