Department of Neurology, University of Maryland School of Medicine, Baltimore, MD, USA.
Top Stroke Rehabil. 2013 Jan-Feb;20(1):78-86. doi: 10.1310/tsr2001-78.
Patients with altered taste perception following stroke are at risk for malnutrition and associated complications that may impede recovery and adversely affect quality of life. Such deficits often induce and exacerbate depressive symptomatology, which can further hamper recovery. It is important for clinicians and rehabilitation specialists to monitor stroke patients for altered taste perception so that this issue can be addressed. The authors present the case of a patient who experienced an isolated ischemic infarct affecting a primary cortical taste area. This case is unusual in that the isolated injury allowed the patient to remain relatively intact cognitively and functionally, and thus able to accurately describe her taste-related deficits. The case is further used to describe the relevant neurological taste pathways and review potential taste-related therapies.
中风后味觉感知改变的患者有发生营养不良和相关并发症的风险,这些并发症可能会阻碍康复并对生活质量产生不利影响。这些缺陷通常会引发和加重抑郁症状,从而进一步阻碍康复。临床医生和康复专家监测中风患者的味觉感知改变非常重要,以便解决这个问题。作者介绍了一例孤立性缺血性梗死影响初级皮质味觉区的患者。这种情况较为罕见,因为孤立性损伤使患者在认知和功能上相对完整,从而能够准确描述她与味觉相关的缺陷。该病例进一步用于描述相关的神经味觉通路,并回顾潜在的与味觉相关的治疗方法。