Service de neurologie, CMRR, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France; Laboratoire de psychologie des Pays-de-la-Loire, université d'Angers (EA4638), maison de la recherche germaine Tillion, 5, bis boulevard-Lavoisier, 49045 Angers cedex, France.
Service de neurologie, CMRR, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France; Laboratoire de psychologie des Pays-de-la-Loire, université d'Angers (EA4638), maison de la recherche germaine Tillion, 5, bis boulevard-Lavoisier, 49045 Angers cedex, France.
Rev Neurol (Paris). 2017 Jul-Aug;173(7-8):430-439. doi: 10.1016/j.neurol.2017.07.005. Epub 2017 Aug 26.
Gestural apraxia was first described in 1905 by Hugo Karl Liepmann. While his description is still used, the actual terms are often confusing. The cognitive approach using models proposes thinking of the condition in terms of production and conceptual knowledge. The underlying cognitive processes are still being debated, as are also the optimal ways to assess them. Several neuroimaging studies have revealed the involvement of a left-lateralized frontoparietal network, with preferential activation of the superior parietal lobe, intraparietal sulcus and inferior parietal cortex. The presence of apraxia after a stroke is prevalent, and the incidence is sufficient to propose rehabilitation.
手势失用症于 1905 年由雨果·卡尔·利普森首次描述。虽然他的描述仍在使用,但实际术语往往令人困惑。使用模型的认知方法建议根据生产和概念知识来考虑这种情况。基础认知过程仍在争论中,评估它们的最佳方法也是如此。几项神经影像学研究表明,左侧额顶叶网络参与其中,上顶叶、顶内沟和下顶叶皮层的激活优先。中风后出现失用症的情况很普遍,发病率足以提出康复建议。