Division of Genetic Medicine, Department of Pediatrics, University of Washington Center for Integrative Brain Research, Seattle Children's Research Institute, Seattle, WA, USA.
Lancet Neurol. 2013 Apr;12(4):381-93. doi: 10.1016/S1474-4422(13)70024-3. Epub 2013 Mar 18.
Historically, the midbrain and hindbrain have been considered of secondary importance to the cerebrum, which has typically been acknowledged as the most important part of the brain. In the past, radiologists and pathologists did not regularly examine these structures-also known as the brainstem and cerebellum-because they are small and difficult to remove without damage. With recent developments in neuroimaging, neuropathology, and neurogenetics, many developmental disorders of the midbrain and hindbrain have emerged as causes of neurodevelopmental dysfunction. These research advances may change the way in which we treat these patients in the future and will enhance the clinical acumen of the practising neurologist and thereby improve the diagnosis and treatment of these patients.
从历史上看,中脑和后脑一直被认为不如大脑重要,而大脑通常被认为是大脑最重要的部分。过去,放射科医生和病理学家并没有定期检查这些结构——也称为脑干和小脑——因为它们很小,而且如果不损坏就很难取出。随着神经影像学、神经病理学和神经遗传学的最新发展,中脑和后脑的许多发育障碍已成为神经发育功能障碍的原因。这些研究进展可能会改变我们未来治疗这些患者的方式,并提高临床神经科医生的临床敏锐度,从而改善这些患者的诊断和治疗。