Laplane D, Baulac M, Carydakis C
Rev Neurol (Paris). 1986;142(4):375-9.
The clinical picture of thalamic motor neglect is identical to those of motor neglect in general, the major symptom of which being an underutilization of one side of the body in the absence of sensory-motor defect. Several thalamic nuclei can be implicated on the grounds of pathological and experimental data, most frequently the ventro-lateral nucleus. The prevalence of left neglect is not so obvious in the case of thalamic than in the case of other sites of lesions. Motor neglect appears as a disorder in the triggering of the brain structures network which program and prepare movement in several circumstances; attentional tasks are only a particular circumstance. Some thalamic nuclei are the site of hypoactivity in the case of frontal motor neglect in the monkey, as shown by anatomical and functional studies; this emphasizes the strong participation of thalamus to the motor network, the dysfunction of which can induce a motor neglect.
丘脑性运动忽视的临床表现与一般运动忽视相同,其主要症状是在没有感觉运动缺陷的情况下身体一侧利用不足。根据病理和实验数据,几个丘脑核可能与之相关,最常见的是腹外侧核。与其他病变部位相比,丘脑性忽视中左侧忽视的发生率不那么明显。运动忽视表现为在多种情况下对规划和准备运动的脑结构网络触发的一种障碍;注意力任务只是其中一种特殊情况。解剖学和功能研究表明,在猴子额叶运动忽视的情况下,一些丘脑核存在活动减退;这强调了丘脑对运动网络的强烈参与,其功能障碍可导致运动忽视。