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1例疱疹性起源遗忘性脑炎的临床解剖学研究(作者译)

[Clinical anatomical study of a case of amnesic encephalitis of herpetic origin (author's transl)].

作者信息

Barbizet J, Duizabo P, Poirier J

出版信息

Rev Neurol (Paris). 1978 Apr;134(4):241-53.

PMID:725399
Abstract

A report on a case of herpes encephalitis in a patient of particularly high intellectual level who was kept under observation for a period of 13 years. Anatomical examination of the brain demonstrated massive bilateral destruction of the limbic system. Having studied the higher functions of this patient for many months it was possible to establish interesting correlations relating to the role of the limbic system. It appears to be indispensable for the utilization of verbal, praxognosic, and conceptual information. Though this is still retained in the intact neocortex, mobilization of the information is possible only when stimuli arise from the exterior and for as long as they last. Spontaneous evocation of this data is, in fact, impossible, as is the stocking of new information. The limbic system, therefore, while not being the site of retention of memorised informations which is the role of the neocortex, appears to be a logic system. Which is indispensable for proper functioning of the memory machine.

摘要

一份关于一名智力水平极高的患者患疱疹性脑炎的病例报告,该患者被观察了13年。脑部解剖检查显示边缘系统出现大面积双侧破坏。经过数月对该患者高级功能的研究,得以建立与边缘系统作用相关的有趣关联。边缘系统对于言语、动作识别和概念信息的利用似乎不可或缺。尽管这些信息仍保留在完整的新皮层中,但只有当外部刺激出现并持续时,信息的调动才有可能。实际上,这些数据的自发唤起以及新信息的存储都是不可能的。因此,边缘系统虽然不是记忆信息的存储部位(这是新皮层的作用),但似乎是一个逻辑系统,对于记忆机制的正常运作不可或缺。

相似文献

1
[Clinical anatomical study of a case of amnesic encephalitis of herpetic origin (author's transl)].1例疱疹性起源遗忘性脑炎的临床解剖学研究(作者译)
Rev Neurol (Paris). 1978 Apr;134(4):241-53.
2
[A case of herpes simplex encephalitis presenting complete destruction of the medial portions in the bilateral temporal lobes].[一例双侧颞叶内侧部分完全破坏的单纯疱疹病毒性脑炎病例]
No To Shinkei. 1993 Dec;45(12):1161-5.
3
[Psychic sequelae of herpetic encephalitis].[疱疹性脑炎的精神后遗症]
Ann Med Psychol (Paris). 1980 Dec;138(10):1260-5.
4
[Encephalitis and acute amnesic encephalopathies. Retrospective study of 16 cases (author's transl)].[脑炎与急性遗忘性脑病。16例回顾性研究(作者译)]
Rev Neurol (Paris). 1979 Nov;135(10):679-92.
5
[Pathology of the limbic system especially of Herpes simplex encephalitis].[边缘系统病理学,尤其是单纯疱疹性脑炎的病理学]
Beitr Neurochir. 1970;16:62-70.
6
Dense amnesia in a professional musician following herpes simplex virus encephalitis.一名职业音乐家在患单纯疱疹病毒性脑炎后出现严重失忆。
J Clin Exp Neuropsychol. 1995 Oct;17(5):668-81. doi: 10.1080/01688639508405157.
7
[Primarily unilateral herpes encephalitis. Long-term neuropsychological study of 9 cases].[主要为单侧性疱疹性脑炎。9例患者的长期神经心理学研究]
Rev Neurol (Paris). 1990;146(11):671-81.
8
[Memory changes in herpes virus encephalitis: report of a case].[疱疹病毒性脑炎的记忆改变:一例报告]
Riv Neurol. 1990 Nov-Dec;60(6):215-8.
9
Partial Klüver-Bucy Syndrome following probably herpes simplex encephalitis.可能由单纯疱疹性脑炎引起的部分克-布综合征
J Neurol. 1979 Sep;221(3):163-7. doi: 10.1007/BF00313047.
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[Post-traumatic Korsakoff's syndrome: clinical and anatomical report].[创伤后柯萨科夫综合征:临床与解剖学报告]
Encephale. 2001 Nov-Dec;27(6):513-25.

引用本文的文献

1
Cognitive and psychiatric impairment in herpes simplex virus encephalitis suggest involvement of the amygdalo-frontal pathways.单纯疱疹病毒性脑炎中的认知和精神障碍提示杏仁核 - 额叶通路受累。
J Neurol. 1996 Mar;243(3):248-56. doi: 10.1007/BF00868522.