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非失语性脑损伤患者局部脑损伤的神经心理学关联

Neuropsychological correlates of localized cerebral lesions in non-aphasic brain-damaged patients.

作者信息

Miceli G, Caltagirone C, Gainotti G, Masullo C, Silveri M C

出版信息

J Clin Neuropsychol. 1981 May;3(1):53-63. doi: 10.1080/01688638108403113.

Abstract

A neuropsychological test battery made up of verbal, visual-spatial, and intelligence tests was administered to 82 right and 67 on-aphasic left brain-damaged patients with localized cerebral lesions, in order to draw impairment profiles of the various subgroups. Separate analyses were undertaken on patients with unilobar and multilobar lesions. As for hemisphere effects, LH patients performed worse than RH subjects on verbal tests, while the reverse was true for visual-spatial tasks. As for lobe effects, patients with frontal lobe damage fared worse than other subgroups on word fluency, independent of the side of the lesion. RH patients with multilobar posterior lesions were significantly more impaired than other RH subgroups on the test of Copying Drawings with Landmarks, probably owing to the detrimental effect of unilateral spatial neglect on tasks requiring an accurate visual-spatial analysis.

摘要

对82名右脑损伤和67名非失语性左脑损伤且有局限性脑损伤的患者进行了由语言、视觉空间和智力测试组成的神经心理测试组合,以得出各个亚组的损伤概况。对单叶和多叶损伤的患者进行了单独分析。至于半球效应,左脑损伤患者在语言测试中的表现比右脑损伤患者差,而在视觉空间任务中则相反。至于脑叶效应,额叶损伤的患者在词语流畅性方面比其他亚组表现更差,与损伤的一侧无关。多叶后部损伤的右脑损伤患者在带地标临摹图画测试中的受损程度明显高于其他右脑损伤亚组,这可能是由于单侧空间忽视对需要精确视觉空间分析的任务产生了不利影响。

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