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二等分还是不二等分:这就是忽视问题。右脑损伤患者忽视症诊断中的直线二等分表现。

Bisecting or not bisecting: this is the neglect question. Line bisection performance in the diagnosis of neglect in right brain-damaged patients.

作者信息

Guariglia Paola, Matano Alessandro, Piccardi Laura

机构信息

Dipartimento Scienze dell'Uomo e della Società, Università degli Studi di Enna "Kore", Enna, Italy.

Unità di Neuropsicologia, IRCCS Fondazione Santa Lucia, Roma, Italy.

出版信息

PLoS One. 2014 Jun 17;9(6):e99700. doi: 10.1371/journal.pone.0099700. eCollection 2014.

DOI:10.1371/journal.pone.0099700
PMID:24937472
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4061067/
Abstract

In the present study we analysed the bisecting behaviour of 287 chronic right brain-damaged patients by taking into account the presence and severity of extrapersonal and/or personal neglect diagnosed with the hemineglect battery. We also analysed right brain-damaged patients who had (or did not have) neglect according to their line bisection performance. Our results showed that performance of the line bisection task correlates with performance of cancellation tasks, reading and perceptual tasks, but not with the presence of personal neglect. Personal neglect seems to be unrelated to line bisection behaviour. Indeed, patients affected by extrapersonal and personal neglect do not show more severe neglect in line bisection than patients with only extrapersonal neglect. Furthermore, we observed that 20.56% of the patients were considered affected or not by neglect on the line bisection task compared with the other spatial tasks of the hemineglect battery. We conclude that using a battery with multiple tests is the only way to guarantee a reliable diagnosis and effectively plan for rehabilitative training.

摘要

在本研究中,我们通过考虑使用半侧忽视成套测验诊断出的个人空间和/或身体忽视的存在情况及严重程度,分析了287例慢性右脑损伤患者的二等分行为。我们还根据线二等分表现,分析了有(或没有)忽视症状的右脑损伤患者。我们的结果表明,线二等分任务的表现与划消任务、阅读和感知任务的表现相关,但与身体忽视的存在无关。身体忽视似乎与线二等分行为无关。事实上,受到个人空间和身体忽视影响的患者在线二等分中并未比仅受到个人空间忽视的患者表现出更严重的忽视。此外,我们观察到,与半侧忽视成套测验的其他空间任务相比,20.56%的患者在线二等分任务中被认为受到或未受到忽视影响。我们得出结论,使用包含多项测试的成套测验是确保可靠诊断并有效规划康复训练的唯一方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85b6/4061067/5a3e03f9de5b/pone.0099700.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85b6/4061067/4a0c1157062d/pone.0099700.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85b6/4061067/5a3e03f9de5b/pone.0099700.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85b6/4061067/4a0c1157062d/pone.0099700.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85b6/4061067/5a3e03f9de5b/pone.0099700.g002.jpg

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PLoS One. 2013 Jul 10;8(7):e67390. doi: 10.1371/journal.pone.0067390. Print 2013.
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Is there a critical lesion site for unilateral spatial neglect? A meta-analysis using activation likelihood estimation.单侧空间忽视是否存在关键病变部位?一项使用激活可能性估计的荟萃分析。
Front Hum Neurosci. 2012 Apr 10;6:78. doi: 10.3389/fnhum.2012.00078. eCollection 2012.
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Time since stroke influences the impact of hemianopia and spatial neglect on visual-spatial tasks.
布伦塔诺错觉测试在检测单侧空间忽视患者视觉半视野缺损中的敏感性和特异性
Brain Sci. 2023 Jun 9;13(6):937. doi: 10.3390/brainsci13060937.
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Non-invasive Brain Stimulation and Prism Adaptation in Art Constructive Errors in Painting.绘画艺术创作错误中的非侵入性脑刺激与棱镜适应
Basic Clin Neurosci. 2023 Jan-Feb;14(1):143-154. doi: 10.32598/bcn.2021.2207.1. Epub 2023 Jan 1.
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Rapid screening for neglect following stroke: A systematic search and European Academy of Neurology recommendations.脑卒中后忽视的快速筛查:系统检索和欧洲神经病学学会推荐意见。
Eur J Neurol. 2022 Sep;29(9):2596-2606. doi: 10.1111/ene.15381. Epub 2022 Jun 30.
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The 'Neglected' Personal Neglect.被忽视的个人疏忽。
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Weight and see: Line bisection in neglect reliably measures the allocation of attention, but not the perception of length.体重和观察:忽视中的线二分法可靠地测量注意力的分配,但不能测量长度的感知。
Neuropsychologia. 2017 Nov;106:146-158. doi: 10.1016/j.neuropsychologia.2017.09.014. Epub 2017 Sep 18.
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中风后时间影响偏盲和空间忽视对视空间任务的影响。
Neuropsychology. 2012 Jan;26(1):37-44. doi: 10.1037/a0025733. Epub 2011 Oct 3.
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'The anatomy underlying acute versus chronic spatial neglect' also depends on clinical tests.“急性与慢性空间忽视背后的解剖结构”也取决于临床测试。
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