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病例报告:右侧大脑后动脉闭塞后的“普鲁斯特现象”

Case report: "Proust phenomenon" after right posterior cerebral artery occlusion.

作者信息

De Beukelaer Sophie, Sokolov A A, Müri R M

机构信息

Department of Neurology, University Hospital, Inselspital Bern, Bern, Switzerland.

Service de Neuropsychologie et de Neuroréhabilitation, Département des Neurosciences Cliniques, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland.

出版信息

Front Neurol. 2023 Jul 13;14:1183265. doi: 10.3389/fneur.2023.1183265. eCollection 2023.

DOI:10.3389/fneur.2023.1183265
PMID:37521297
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10374343/
Abstract

Odors evoking vivid and intensely felt autobiographical memories are known as the "Proust phenomenon," delineating the particularity of olfaction in being more effective with eliciting emotional memories than other sensory modalities. The phenomenon has been described extensively in healthy participants as well as in patients during pre-epilepsy surgery evaluation after focal stimulation of the amygdalae and post-traumatic stress disorder (PTSD). In this study, we provide the inaugural description of aversive odor-evoked autobiographical memories after stroke in the right hippocampal, parahippocampal, and thalamic nuclei. As potential underlying neural signatures of the phenomenon, we discuss the disinhibition of limbic circuits and impaired communication between the major networks, such as saliency, central executive, and default mode network.

摘要

唤起生动且强烈的自传体记忆的气味被称为“普鲁斯特现象”,它描绘了嗅觉的特殊性,即与其他感官模态相比,嗅觉在引发情感记忆方面更有效。该现象在健康参与者以及在癫痫手术前评估期间接受杏仁核局部刺激后的患者和创伤后应激障碍(PTSD)患者中都有广泛描述。在本研究中,我们首次描述了右侧海马体、海马旁回和丘脑核中风后厌恶气味诱发的自传体记忆。作为该现象潜在的神经特征,我们讨论了边缘回路的去抑制以及主要网络(如显著性、中央执行和默认模式网络)之间的通信受损。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9986/10374343/bf541a13da59/fneur-14-1183265-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9986/10374343/bf541a13da59/fneur-14-1183265-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9986/10374343/bf541a13da59/fneur-14-1183265-g0001.jpg

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本文引用的文献

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Perceptual Disorders After Stroke: A Scoping Review of Interventions.脑卒中后知觉障碍:干预措施的范围综述。
Stroke. 2022 May;53(5):1772-1787. doi: 10.1161/STROKEAHA.121.035671. Epub 2022 Apr 25.
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Human hippocampal connectivity is stronger in olfaction than other sensory systems.人类海马体的连接在嗅觉中比其他感觉系统更强。
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Brain circuits signaling the absence of emotion in body language.大脑回路信号身体语言中不存在情感。
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Preliminary evidence for differential olfactory and trigeminal processing in combat veterans with and without PTSD.初步证据表明,患有 PTSD 和未患有 PTSD 的参战退伍军人的嗅觉和三叉神经处理存在差异。
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