Suchenwirth R M
MMW Munch Med Wochenschr. 1977 Jul 8;119(27):907-10.
History-taking in neurology is particularly favored by the fact that the disease processes occur at or in structures which underlie direct sensation and perception. No-one can so exactly report on disturbances of seeing, hearing, feeling, smelling, tasting, and equilibrium as the patient himself. But the personality of the observer is particularly involved: Is he minimizing, dramatizing, or are there changes in the cerebral cortex? For this reason the statements of relatives have special importance, particularly in convulsions and in the matter of personality changes.
神经病学中的病史采集尤其得益于这样一个事实,即疾病过程发生在直接感觉和感知所依赖的结构上或其内部。没有人能像患者本人那样准确地报告视觉、听觉、感觉、嗅觉、味觉和平衡方面的障碍。但观察者的个性尤其重要:他是在淡化、夸大病情,还是大脑皮层发生了变化?因此,亲属的陈述具有特殊的重要性,尤其是在惊厥和人格改变方面。