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库尔特·戈尔茨坦及其关于失语症的非定位主义思想——20世纪初早期网络理论的先驱?

Kurt Goldstein and his nonlocationist thoughts on aphasia-a pioneer of early network theories at the beginning of the twentieth century?

作者信息

Joswig Holger, Hildebrandt Gerhard

机构信息

Department of Clinical Neurological Sciences, Division of Neurosurgery, London Health Sciences Centre, University Hospital, 339 Windermere Road, London, ON, N6A 5A5, Canada.

Department of Neurosurgery, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.

出版信息

Acta Neurochir (Wien). 2017 Jul;159(7):1179-1185. doi: 10.1007/s00701-017-3209-x. Epub 2017 May 25.

Abstract

In between Carl Wernicke's locationist aphasia concept from 1874 and Norman Geschwind's new connectionist model of human brain functions in 1965, little notice was taken of the historical debate on aphasia and brain plasticity. Interestingly, Kurt Goldstein made long-forgotten, but highly relevant remarks on the connectionist model and thereby served as an important connecting link between Wernicke and Geschwind. With the original contributions of Goldstein and contemporary authors, we analyzed the historical background of the aphasia debate in the time period between Wernicke and Geschwind, which still influences current aphasia concepts and neurosurgical practice of today.

摘要

在1874年卡尔·韦尼克的定位性失语症概念与1965年诺曼· Geschwind的人类大脑功能新联结主义模型之间,关于失语症和大脑可塑性的历史争论鲜受关注。有趣的是,库尔特·戈尔茨坦对联结主义模型发表了早已被遗忘但却高度相关的评论,从而成为韦尼克和Geschwind之间的重要连接纽带。结合戈尔茨坦及当代作者的原创贡献,我们分析了韦尼克和Geschwind时期失语症争论的历史背景,这一背景至今仍影响着当今的失语症概念和神经外科实践。

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