Tarkhan A U, Tets I S, Shlepakov I M
Zh Nevropatol Psikhiatr Im S S Korsakova. 1985;85(6):840-6.
Seventy-four patients with focal epilepsy were examined by means of a specially devised complex of experimental techniques. It was shown that epileptic involvement of the temporal lobes (in particular the anterior and mediobasal regions) of both hemispheres was associated with disorders of recognition of the emotional coloring of speech and non-speech sound complexes. Maximum disorders in the comparison of unorganized sound rows were observed when the right temporal lobe was involved, in the comparison of emotions when the left lobe was affected. Difficulties in recognizing melodies and emotions were observed in patients with temporal foci in the left and the right hemisphere but it was especially marked after surgery on the structures of the left temporal lobe. The degree of the disorders was primarily due to the severity of the organic damage of the brain rather than to the localization of the epileptic focus.
对74例局灶性癫痫患者采用一套专门设计的实验技术组合进行了检查。结果表明，双侧颞叶（特别是前内侧区域）的癫痫累及与言语和非言语声音复合体情感色彩识别障碍有关。当右侧颞叶受累时，在比较无组织的音列时观察到最大障碍；当左侧颞叶受影响时，在比较情感时观察到最大障碍。在左、右半球有颞叶病灶的患者中均观察到识别旋律和情感的困难，但在左侧颞叶结构手术后尤为明显。这些障碍的程度主要取决于脑器质性损害的严重程度，而非癫痫病灶的定位。
