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丘脑源性运动忽视:两例报告(作者译)

[Motor neglect of thalamic origin: report on two cases (author's transl)].

作者信息

Laplane D, Escourolle R, Degos J D, Sauron B, Massiou H

出版信息

Rev Neurol (Paris). 1982;138(3):201-11.

PMID:6287552
Abstract

Two cases of thalamic lesions with motor neglect are presented. The syndrome of motor neglect was complete in those cases with a) underutilization of left limbs, but good utilization upon verbal orders, b) loss of placement reaction, c) weakness of movement when hand was approaching the target, d) weakness of motor reaction to nociceptive stimuli. Those cases confirm that motor neglect exists after thalamic lesions and bring pathologic clues for topographic discussion. Motor neglect seems to be a particular case of partial unilateral neglect throwing some doubt on the hypothesis of a global trouble of hemispheric activation. Prevalence of left motor neglects suggests some linkage between propositional motility and language. One may suppose that in the right hemisphere language is able to have a vicarious action when spontaneous activation is lost; at the opposite, in the left hemisphere language and motility would be too linked to let this dissociation be generally possible.

摘要

本文报告了两例伴有运动忽视的丘脑病变病例。在这些病例中,运动忽视综合征表现为:a)左肢利用不足,但按言语指令时利用良好;b)放置反应丧失;c)手接近目标时运动减弱;d)对伤害性刺激的运动反应减弱。这些病例证实了丘脑病变后存在运动忽视,并为地形学讨论提供了病理线索。运动忽视似乎是部分单侧忽视的一种特殊情况,这对半球激活全面障碍的假说提出了一些质疑。左侧运动忽视的普遍性表明命题运动与语言之间存在某种联系。可以推测,在右半球,当自发激活丧失时,语言能够起到替代作用;相反,在左半球,语言和运动联系过于紧密,一般不可能出现这种分离。

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