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前交通动脉瘤破裂中的裂脑现象:一例报告。

Split-brain phenomena in anterior communicating artery aneurysm rupture: A case report.

作者信息

Korsakova Natalya, Liebson Elizabeth, Moskovich Lena

机构信息

Department of Neuro- and Pathopsychology, Lomonosov Moscow State University, Moscow, Russia.

Department of Psychiatry, McLean Hospital, Belmont, Massachusetts, USA.

出版信息

Psych J. 2017 Jun;6(2):120-136. doi: 10.1002/pchj.145.

DOI:10.1002/pchj.145
PMID:28660741
Abstract

In 1976, a patient with an anterior communicating artery aneurysm (ACoAA) rupture (diagnosed on angiography) and sub-arachnoid hemorrhage (SAH) underwent serial neuropsychological testing revealing a classical anterior cerebral artery (ACA) spasm picture with severe anterograde amnesia of Korsakoff's type and dysexecutive syndrome. In addition, the patient demonstrated impaired hemispheric interaction with alien hand syndrome, dyscopia-dysgraphia, complete left ear neglect, and other, more complex, split-brain phenomena. He was evaluated by A. R. Luria in 1976. Following surgery the patient demonstrated gradual improvement.

摘要

1976年,一名患有前交通动脉瘤(ACoAA)破裂(经血管造影诊断)和蛛网膜下腔出血(SAH)的患者接受了系列神经心理学测试,结果显示出典型的大脑前动脉(ACA)痉挛表现,伴有柯萨科夫型严重顺行性遗忘和执行功能障碍综合征。此外,该患者还表现出半球交互受损,伴有异己手综合征、书写障碍、完全性左耳忽视以及其他更复杂的裂脑现象。1976年,他接受了A. R. 卢里亚的评估。手术后,患者病情逐渐好转。

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