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[深部舌-颏反射:颞叶病变的早期体征(作者译)]

[The deep linguo-mental reflex: an early sign of temporal lesions (author's transl)].

作者信息

Brakha S

出版信息

Rev Neurol (Paris). 1978 Nov;134(11):707-8.

PMID:751164
Abstract

The deep linguo-mental reflex is produced by light tapping on a spatula placed on the protruding tongue one centimeter in front of the dental arch. It is positive when contraction of the chin muscles occurs. This reflex is the only early neurological sign evoking a diagnosis of temporal lesions. It is usually found on the opposite side from that of the lesion. In psychotic patients and in those with behavioral disorders having impulsive and violent tendencies, the reflex is bilateral or contralateral to the dominant hemisphere. In dysphoric emotional disorders it is contralateral to the minor hemisphere affected. This reflex is not found in normal adults or in neurological diseases without cerebral lesions.

摘要

深舌颏反射是通过轻敲放在牙弓前方一厘米处突出舌头上的压舌板产生的。当下颌肌肉收缩时为阳性。该反射是引发颞叶病变诊断的唯一早期神经学体征。它通常出现在病变对侧。在精神病患者以及有冲动和暴力倾向的行为障碍患者中,该反射是双侧的或与优势半球对侧。在烦躁情绪障碍中,它与受影响的非优势半球对侧。正常成年人或无脑部病变的神经疾病患者中不存在此反射。

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