Lachkepiani A N, Bagaturiia L A
Zh Nevropatol Psikhiatr Im S S Korsakova. 1981;81(1):20-6.
The patients with the acute stage of myocardial infarction and focal affections of the left and the right hemispheres of the brain were observed. The patients with the acute myocardial infarction and focal affections of the right hemisphere, especially, with the infarction-apoplexy syndrome, developed pananosognosia, i. e. incomprehension and negation of not only hemiplegia, but also the cardiac disease. The so frequent development of the pananosognosia in the infarction-apoplexy syndromes, i. e. in cases when the coronarocerebral catastrophe progresses swiftly and violently, is probably due, apart from the local factors (the focal affection of the right hemisphere), to the general cerebral factors, such as, brain hypoxia, the degree of which predetermines to a great measure the function of the brain, and aggravates, in its turn, the disturbance of the conjugated activity of the brain hemispheres. In cases of combined affections of the heart and the left hemisphere the patients show adequate personal responses to the morbid state, and the latter becomes for a certain period of time an integral part of the patient's "ego".
对患有急性心肌梗死以及大脑左右半球局灶性病变的患者进行了观察。尤其是患有急性心肌梗死和右半球局灶性病变的患者，特别是那些患有梗死 - 中风综合征的患者，会出现全面的疾病失认症，即不仅对偏瘫，而且对心脏病都无法理解和否认。在梗死 - 中风综合征中，也就是在冠状动脉性脑灾难迅速而剧烈发展的情况下，如此频繁地出现全面的疾病失认症，除了局部因素（右半球的局灶性病变）外，可能还归因于一般的脑因素，例如脑缺氧，其程度在很大程度上决定了大脑的功能，进而又加剧了大脑半球联合活动的紊乱。在心脏和左半球合并病变的情况下，患者对病态表现出适当的个人反应，并且在一段时间内，这种病态成为患者“自我”的一个组成部分。
