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导致视觉半侧空间忽视的病灶部位在大脑半球间前后方向上的差异。

Anterior-posterior interhemispheric differences in the loci of lesions producing visual hemineglect.

作者信息

Ogden J A

出版信息

Brain Cogn. 1985 Jan;4(1):59-75. doi: 10.1016/0278-2626(85)90054-5.

DOI:10.1016/0278-2626(85)90054-5
PMID:4027055
Abstract

Five neuropsychological tests designed to measure the presence and severity of visual hemineglect were given to 101 patients with clearly defined unilateral lesions. Of these, visual hemineglect was present in 28 out of a total of 56 left brain damaged (LBD) patients and in 20 out of 45 right brain damaged (RBD) patients. The incidence of hemineglect in these groups did not differ significantly, but the severity of hemineglect was greater in the RBD group than in the LBD group. However, the two groups were found to differ significantly with respect to the loci of the lesions most likely to result in hemineglect. In the RBD group most patients with hemineglect had posterior lesions, and in the LBD group most patients with hemineglect had anterior lesions. Possible reasons for this were discussed first from the point of view of an inattention hypothesis and second in terms of the effects the lateralization of language representation might have on the representation of spatial functions.

摘要

对101例单侧病变明确的患者进行了五项旨在测量视觉半侧忽视的存在及严重程度的神经心理学测试。其中,在总共56例左脑损伤(LBD)患者中,有28例存在视觉半侧忽视;在45例右脑损伤(RBD)患者中,有20例存在视觉半侧忽视。这些组中半侧忽视的发生率无显著差异,但RBD组半侧忽视的严重程度高于LBD组。然而,发现两组在最易导致半侧忽视的病变部位方面存在显著差异。在RBD组中,大多数有半侧忽视的患者有后部病变,而在LBD组中,大多数有半侧忽视的患者有前部病变。首先从注意力不集中假说的角度,其次从语言表征的侧化可能对空间功能表征产生的影响方面,对其可能的原因进行了讨论。

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