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右半球中风后行为异常的恢复

Recovery of behavioral abnormalities after right hemisphere stroke.

作者信息

Hier D B, Mondlock J, Caplan L R

出版信息

Neurology. 1983 Mar;33(3):345-50. doi: 10.1212/wnl.33.3.345.

Abstract

We studied recovery of function in 41 patients with right hemisphere stroke. Recovery was rapid for left neglect, prosopagnosia, anosognosia, and unilateral spatial neglect on drawing (USN). Recovery was slower for h mianopia, hemiparesis, motor impersistence, and extinction. Rates of recovery were intermediate for constructional apraxia and dressing apraxia. Sex had no influence on the rate of recovery. Younger patients recovered from prosopagnosia more rapidly than older patients. Patients with smaller lesions recovered more quickly from anosognosia, USN, and hemiparesis than patients with larger lesions. Patients with hemorrhages recovered more rapidly from constructional apraxia, neglect, and motor impersistence than patients with infarcts. Recovery of function and the factors influencing recovery can by studied systematically by life table methods.

摘要

我们研究了41例右半球卒中患者的功能恢复情况。左侧忽视、面孔失认症、疾病感缺失以及绘图时的单侧空间忽视(USN)恢复迅速。偏盲、偏瘫、运动持续性障碍和消退的恢复较慢。结构性失用症和穿衣失用症的恢复速度中等。性别对恢复速度没有影响。年轻患者面孔失认症的恢复比老年患者更快。病灶较小的患者比病灶较大的患者从疾病感缺失、USN和偏瘫中恢复得更快。出血性卒中患者比梗死性卒中患者从结构性失用症、忽视和运动持续性障碍中恢复得更快。功能恢复情况以及影响恢复的因素可以通过寿命表法进行系统研究。

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