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[几种典型的老年性痴呆脑形态学改变及其相应的神经心理学综合征]

[Several characteristic senile dementia morphologic changes in the brain and their corresponding neuropsychological syndromes].

作者信息

Solov'ev V N

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1978;78(7):1087-95.

PMID:685618
Abstract

A pathohistological study of the brain in 23 cases of senile dementia detected that the loss of a significant amount of neurons of the II and III layers in the cortex of the frontal and occipital lobes was accompanied by foci of destruction in the knee and intumescentia of the corpus callosum as well as by a destruction of the long associative connections in the fascicles, connecting the frontal and occipital lobes of the same hemisphere. Such phenomena were not found in normal individuals of old age nor in mental patients with other diseases. A neuropsychological study of 21 patients with senile dementia demonstrated that a lesion of these brain structures may correspond to dynamical apraxia, visual agnosis and a disturbance of bimanuel reciprocal coordination.

摘要

对23例老年痴呆症患者大脑进行的病理组织学研究发现,额叶和枕叶皮质Ⅱ层和Ⅲ层大量神经元缺失,同时伴有胼胝体膝部和膨大处的破坏灶,以及连接同一半球额叶和枕叶的束中长联合纤维的破坏。在正常老年人和患有其他疾病的精神病人中未发现此类现象。对21例老年痴呆症患者进行的神经心理学研究表明,这些脑结构的损伤可能与动态失用症、视觉失认症和双手交互协调障碍有关。

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