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这是空间忽视综合征,而非仅仅是注意力缺陷!一名脊髓室管膜瘤切除术后被误诊为患有注意力缺陷多动障碍的儿童:病例报告。

It is spatial neglect syndrome, not only attention deficit! A child with spinal ependymoma post-resection misdiagnosed as having ADHD: Case report.

作者信息

Alsalhi Saleh Mohammed, Alqahtani Mohammed M J, Alotaibi Ghaniah, AlAdamawi Somayyah A, Arnous Razan Ibrahim

机构信息

Child Development Center King Abdullah Abdulaziz University Hospital Princess Nourah Bint Abdulrahman University Riyadh Saudi Arabia.

Department of Psychology King Khalid University Abha Saudi Arabia.

出版信息

Clin Case Rep. 2022 Apr 15;10(4):e05723. doi: 10.1002/ccr3.5723. eCollection 2022 Apr.

DOI:10.1002/ccr3.5723
PMID:35441010
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9010952/
Abstract

The neurobehavioral syndrome known as spatial neglect, which could be a result of a brain tumor, is common but difficult to diagnose and manage. This case study describes the evaluation of spatial neglect syndrome psychologically in detail and also builds an initial discussion of the role of the Arabic language, which requires a right-to-left-oriented spatial frame, to understand the severity of the symptoms. We report a case of spatial neglect syndrome after a brain tumor. A 7-year-old boy presented to the CDC clinics with a significant limitation of attention and very poor school achievement. The patient underwent several neuropsychological assessments, including an intellectual IQ test, social and adaptive behavior testing, attention deficit hyperactivity disorder testing, and a battery of neuropsychological tests to detect the presence of spatial neglect, as well as a psychological interview and observation. We present a 7-year-old boy with spatial neglect syndrome who visited the primary children's mental health department. The additional role of the Arabic language could have more of an impact on the symptoms and the proper rehabilitation intervention. After the proper diagnosis and rehabilitation intervention, the child showed a good outcome with regard to his attention and focusing skills as well as his school performance.

摘要

被称为空间忽视的神经行为综合征可能是脑肿瘤的结果,它很常见,但难以诊断和处理。本案例研究详细描述了对空间忽视综合征的心理评估,并初步探讨了阿拉伯语(其需要从右到左的空间框架)在理解症状严重程度方面的作用。我们报告了一例脑肿瘤后出现空间忽视综合征的病例。一名7岁男孩因注意力严重受限和学业成绩极差就诊于疾病控制与预防中心诊所。该患者接受了多项神经心理学评估,包括智力智商测试、社会和适应性行为测试、注意力缺陷多动障碍测试、一系列用于检测空间忽视的神经心理学测试,以及一次心理访谈和观察。我们介绍了一名患有空间忽视综合征的7岁男孩,他就诊于儿童初级心理健康科。阿拉伯语的额外作用可能对症状和适当的康复干预有更大影响。经过正确诊断和康复干预后,该儿童在注意力和专注技能以及学业表现方面都取得了良好的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b047/9010952/ac82cf79de74/CCR3-10-e05723-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b047/9010952/ac82cf79de74/CCR3-10-e05723-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b047/9010952/ac82cf79de74/CCR3-10-e05723-g002.jpg

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本文引用的文献

1
Assessment of spatial neglect in clinical practice: A nationwide survey.临床实践中空间忽视的评估:一项全国性调查。
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Rehabilitation of motor dysfunction in primary brain tumor patients.原发性脑肿瘤患者运动功能障碍的康复
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Component deficits of visual neglect: "Magnetic" attraction of attention vs. impaired spatial working memory.视觉忽视的成分缺陷:注意力的“磁场”吸引力与空间工作记忆受损。
Neuropsychologia. 2018 Jan 31;109:52-62. doi: 10.1016/j.neuropsychologia.2017.11.034. Epub 2017 Dec 2.
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A case of posterior cortical atrophy with vertical neglect.一例伴有垂直性忽视的后部皮质萎缩病例。
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How does Arabic orthographic connectivity modulate brain activity during visual word recognition: an ERP study.阿拉伯语正字法连接如何调节视觉单词识别过程中的大脑活动:一项 ERP 研究。
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