Öztürk Şerefnur, Ege Fahrettin, Ekmekçi Hakan
Selçuk University Faculty of Medicine, Department of Neurology, Konya, Turkey.
Ufuk University Faculty of Medicine, Department of Neurology, Ankara, Turkey.
Noro Psikiyatr Ars. 2014 Dec;51(4):313-317. doi: 10.5152/npa.2014.7348. Epub 2014 Dec 1.
The anterior system is primarily responsible for the clinical picture in a patient that presents with clinical aphasia. However, recent reports have shown that injuries to posterior structures, the cerebellum in particular, may have a role in language processing. Herein, we will look first at the linguistic role of the cerebellum in light of the literature, then of the thalamus and some described clinical syndromes, and finally, specific syndromes resulting from occipital lobe lesions, all of which are supported by the posterior vascular system. The human brain is such a complex organization that in addition to the thalamus and occipital cortex, we can see the involvement of the cerebellum in high cognitive functions. Posterior system strokes may lead to clinical findings of cognitive deficits, including neurolinguistic components. Determining these defects in stroke patients may precipitate changes in current management strategies.
前循环系统主要负责出现临床失语症患者的临床表现。然而，最近的报告显示，后循环结构损伤，尤其是小脑损伤，可能在语言处理中起作用。在此，我们将首先根据文献探讨小脑在语言方面的作用，然后是丘脑和一些已描述的临床综合征，最后是枕叶病变导致的特定综合征，所有这些均由后循环血管系统支持。人类大脑是一个如此复杂的结构，除了丘脑和枕叶皮质外，我们还能看到小脑参与了高级认知功能。后循环系统中风可能导致认知缺陷的临床表现，包括神经语言学方面的表现。确定中风患者的这些缺陷可能促使当前治疗策略发生改变。
