Basso A, Capitani E, Della Sala S, Laiacona M, Spinnler H
Brain. 1987 Jun;110 ( Pt 3):747-60. doi: 10.1093/brain/110.3.747.
In this study we investigated whether there are predictors for recovery from ideomotor apraxia (IMA) in patients with focal left hemisphere vascular lesions. Recovery was followed in 26 patients, first examined between 15 and 30 days postonset. They were apraxic at the first examination and had a second (and in some cases, a third) neuropsychological assessment after some months. Six patients with bilateral lesions were also studied to help to define the role of the right hemisphere in recovery from IMA. Other neuropsychological variables (Token Test, Progressive Matrices and Oral Apraxia scores) and site and size of the lesion were also determined. The main results are that improvement from IMA is related to the site of the lesion (anterior lesions faring better); the evolution of IMA is related more to the evolution of oral apraxia than to the evolution of other neuropsychological variables; and the presence of a second lesion in the right hemisphere did not have the negative influence on recovery that might have been expected.
在本研究中，我们调查了左侧半球局灶性血管病变患者从观念运动性失用症（IMA）中恢复是否存在预测因素。对26例患者进行了随访，首次检查在发病后15至30天之间。他们在首次检查时存在失用症，并在数月后进行了第二次（在某些情况下为第三次）神经心理学评估。还对6例双侧病变患者进行了研究，以帮助确定右半球在IMA恢复中的作用。还确定了其他神经心理学变量（代币测验、渐进性矩阵和口失用症评分）以及病变的部位和大小。主要结果是，IMA的改善与病变部位有关（前部病变恢复较好）；IMA的演变与口失用症的演变关系更大，而与其他神经心理学变量的演变关系较小；右半球存在第二个病变对恢复并没有预期的负面影响。
