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颅骨创伤后幸存(但未康复):特兰西瓦尼亚的案例研究。

Surviving (but not thriving) after cranial vault trauma: A case study from Transylvania.

机构信息

University of South Florida, Department of Anthropology, 4202 East Fowler Avenue, SOC107, Tampa, FL 33620, USA.

University of Kentucky College of Medicine, Department of Neurology, 740 S. Limestone, Kentucky Clinic J-414, Lexington, KY 40536, USA.

出版信息

Int J Paleopathol. 2021 Sep;34:122-129. doi: 10.1016/j.ijpp.2021.06.006. Epub 2021 Jul 6.

Abstract

OBJECTIVE

To link an antemortem cranial injury on the left parietal bone with potential neurocognitive consequences.

MATERIALS

The skeleton of a male individual from a Székely archaeological site in Transylvania was examined. The skeleton was radiocarbon dated to Cal AD 1450 and AD 1640 and presented a well-healed antemortem penetrating cranial injury on the left parietal bone.

METHODS

Macroscopic and radiographic analyses were conducted and the cranium was also archived digitally with a Faro FreeStyle3D scanner. In addition, well-known literature from neuroscience was synthesized in order to better understand the likely neurological consequences of the injury.

RESULTS

The literature suggests that tasks of attention and working memory, sensory processing, language processing, and vision are affected when the parietal lobe of the brain is injured.

CONCLUSIONS

Burial 195 did not likely return to a 'normal' life after he survived the cranial injury.

SIGNIFICANCE

This study demonstrates that bioarcheological interpretations involving antemortem cranial injuries can be enhanced by collaboration with neuroscientists. Bioarcheological interpretations are improved when the consequences of soft tissue injuries are understood.

LIMITATIONS

This study was limited by a lack of historical documents relevant to the region, time period, and specific case study. In addition, interpretations are cautionary because brain functioning cannot be assessed in vivo in the absence of life.

SUGGESTIONS FOR FURTHER RESEARCH

Bioarcheologists who study antemortem cranial injuries should continue to collaborate with neuroscientists.

摘要

目的

将左顶骨上的生前颅脑损伤与潜在的神经认知后果联系起来。

材料

对特兰西瓦尼亚一个 Székely 考古遗址的一名男性个体的骨骼进行了检查。该骨骼经放射性碳年代测定为公元 1450 年和公元 1640 年,并在左顶骨上呈现出愈合良好的生前穿透性颅脑损伤。

方法

进行了宏观和放射学分析,并使用 Faro FreeStyle3D 扫描仪对颅骨进行了数字存档。此外,还综合了神经科学的知名文献,以更好地理解损伤的可能神经后果。

结果

文献表明,当大脑顶叶受伤时,注意力和工作记忆、感觉处理、语言处理和视觉等任务会受到影响。

结论

195 号墓主在幸存颅脑损伤后不太可能恢复“正常”生活。

意义

本研究表明,涉及生前颅脑损伤的生物考古学解释可以通过与神经科学家的合作得到加强。当理解软组织损伤的后果时,生物考古学的解释会得到改善。

局限性

本研究受到缺乏与该地区、时间范围和特定案例研究相关的历史文献的限制。此外,由于在没有生命的情况下无法在体内评估大脑功能,因此解释是谨慎的。

进一步研究的建议

研究生前颅脑损伤的生物考古学家应继续与神经科学家合作。

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