Fujii T, Fukatsu R, Ayumu O, Kimura I, Yamadori A
Section of Neuropsychology, Graduate School of Medicine, Tohoku University, Sendai, Japan.
No To Shinkei. 1995 Mar;47(3):255-9.
Unilateral spatial neglect (USN) was assessed in 148 right-handed stroke patients with lesions confined to the right cerebral hemisphere. We focused our study on the USN-positive rates according to method of testing, its association with other neurological findings, and the site of the lesion on X-ray CT scans. Left USN was found in 57 of the 148 patients. There were no significant differences in positive rates on each of the 4 tasks adopted in this study. USN was significantly correlated with hemianopia but not with anosognosia for hemianopia. USN was also significantly correlated with degree of both motor and sensory impairments. Pathologically, no USN was found in patients with lesions in the prerolandic area, but the USN-positive rate was high among patients with lesions in the postrolandic lesions. These findings are discussed in comparison with those of several previous studies.
对148例右侧大脑半球局限性病变的右利手卒中患者进行了单侧空间忽视(USN)评估。我们的研究重点是根据测试方法得出的USN阳性率、其与其他神经学发现的关联以及X线CT扫描上的病变部位。148例患者中有57例存在左侧USN。本研究采用的4项任务中每项任务的阳性率均无显著差异。USN与偏盲显著相关,但与偏盲失认无关。USN也与运动和感觉障碍程度显著相关。病理上,中央前回病变患者未发现USN,但中央后回病变患者的USN阳性率较高。将这些发现与之前几项研究的结果进行了比较讨论。