Kawamura Mitsuru
Okusawa Hospital & Clinics.
Brain Nerve. 2023 Mar;75(3):255-261. doi: 10.11477/mf.1416202317.
Allesthesia is a peculiar symptom in which sensory stimulation to one side of the body is perceived on the opposite side. This was first described by Obersteiner in patients with spinal cord lesions in 1881. Thereafter, it has occasionally been reported for brain lesions and was classified into higher cortical dysfunction as a right parietal lobe symptom. No detailed studies on this symptom have long been reported in association with lesions of either the brain or spinal cord, partly because of difficulties in its pathological evaluation. Being scarcely mentioned in recent books on neurology, allesthesia has virtually become a forgotten neural symptom. The author identified allesthesia in some patients with hypertensive intracerebral hemorrhage and three patients with spinal cord lesions, and studied its clinical signs and mechanism of pathogenesis. The following sections discuss allesthesia in light of its definition, cases and responsible lesions, clinical signs, and mechanism of pathogenesis.
感觉倒错是一种特殊症状,即身体一侧受到的感觉刺激却在对侧被感知。这一症状最早由奥伯施泰纳于1881年在脊髓损伤患者中描述。此后,偶尔也有关于脑损伤导致该症状的报道,并被归类为高级皮质功能障碍,作为右侧顶叶症状。长期以来,关于这一症状与脑或脊髓损伤相关的详细研究鲜有报道,部分原因是其病理评估存在困难。在最近的神经病学书籍中几乎未被提及,感觉倒错实际上已成为一种被遗忘的神经症状。作者在一些高血压脑出血患者和三名脊髓损伤患者中发现了感觉倒错,并研究了其临床体征和发病机制。以下各节将根据感觉倒错的定义、病例及相关损伤、临床体征和发病机制进行讨论。