Hier D B, Mondlock J, Caplan L R
Neurology. 1983 Mar;33(3):337-44. doi: 10.1212/wnl.33.3.337.
We evaluated 41 patients with unilateral right hemisphere strokes for hemiparesis, hemianopia, constructional apraxia, neglect, extinction, unilateral spatial neglect on drawing (USND), dressing apraxia, anosognosia, prosopagnosia, and motor impersistence. Low correlations were found among USND, neglect, and extinction. Constructional apraxia showed a higher correlation with USND than with hemianopia. Motor impersistence and anosognosia correlated with the severity of the hemiplegia. Left neglect, motor impersistence, and anosognosia tended to occur only with large strokes. Injury to the right parietal lobe appears to be an important determinant of USND and constructional apraxia. In most cases of motor impersistence, left neglect, and anosognosia, there was injury to the right parietal lobe and also to structures beyond the parietal lobe. In two cases, small deep lesions produced behavioral abnormalities comparable to those of larger superficial cortical lesions.
我们评估了41例单侧右半球卒中患者的偏瘫、偏盲、结构性失用、疏忽、消退、绘图时单侧空间忽视（USND）、穿衣失用、疾病感缺失、面容失认和运动持续性障碍。发现USND、疏忽和消退之间的相关性较低。结构性失用与USND的相关性高于与偏盲的相关性。运动持续性障碍和疾病感缺失与偏瘫的严重程度相关。左侧疏忽、运动持续性障碍和疾病感缺失往往仅在大面积卒中时出现。右侧顶叶损伤似乎是USND和结构性失用的重要决定因素。在大多数运动持续性障碍、左侧疏忽和疾病感缺失的病例中，右侧顶叶以及顶叶以外的结构均有损伤。在两例病例中，小的深部病变产生了与较大的浅表皮质病变相当的行为异常。
