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神经功能障碍患者的直线二等分及单侧视觉忽视

Line bisection and unilateral visual neglect in patients with neurologic impairment.

作者信息

Schenkenberg T, Bradford D C, Ajax E T

出版信息

Neurology. 1980 May;30(5):509-17. doi: 10.1212/wnl.30.5.509.

DOI:10.1212/wnl.30.5.509
PMID:7189256
Abstract

Unilateral visual neglect is a common symptom or sign in patients with lesions of the nondominant hemisphere. Several techniques have been used to demonstrate visual neglect. One such technique--asking a patient to bisect a horizontal line and expecting an estimate of center away from the side neglected--has been used for over 70 years but has not been statistically evaluated. We conducted a formal evaluation of this method and found that under special conditions, line-bisection performance can discriminate between patients with right-hemisphere lesions and patients with diffuse lesions, patients with left-hemisphere lesions, and hospital controls. When used to investigate visual neglect in an individual patient, the line-bisection test should be given in conjunction with other complementary procedures such as symmetric drawings and the Memory-for-Designs Test.

摘要

单侧视觉忽视是大脑非优势半球病变患者常见的症状或体征。有多种技术被用于证明视觉忽视。其中一种技术——要求患者将一条水平线二等分,并期望其对中点的估计偏离被忽视的一侧——已经使用了70多年,但尚未进行统计学评估。我们对该方法进行了正式评估,发现在特殊条件下,线段二等分表现能够区分右半球病变患者与弥漫性病变患者、左半球病变患者以及医院对照组。当用于调查个体患者的视觉忽视时,线段二等分测试应与其他补充程序(如对称图形绘制和图案记忆测试)结合使用。

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