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[蛛网膜下腔出血后额叶综合征中的言语和思维障碍]

[Speech and thought disorder in frontal syndrome following subarachnoid hemorrhage].

作者信息

Magiera P, Sep-Kowalik B, Pankiewicz P, Pankiewicz K

机构信息

Katedry i I Kliniki Chorób Psychicznych AM, Gdańsku.

出版信息

Psychiatr Pol. 1994 Nov-Dec;28(6):773-80.

PMID:7862763
Abstract

Here is described a case of a patient suffering from cerebral hemorrhage resulting in the perforation of the third cerebral ventricle and massive damage of the frontal lobes in consequence of the rupture of an intracranial aneurysm. After neurosurgical operation the patient's general state improved, but in spite of this he displayed symptoms of the frontal syndrome with many symptoms in the area of abstractional thinking and reflectiveness and a significant reduction of higher emotionality. Very interesting in this case is the neurolinguistic symptomatology. The rehabilitation and pharmacotherapy was very successful. This case is very interesting because it contains many of the symptoms called "frontal syndrome". It is also important to show the role of the frontal lobes in the integral process of mental life and in the role of the left hemisphere in the gnostic and coordinative processes of speech and other higher functions of the central nervous system.

摘要

本文描述了一例因颅内动脉瘤破裂导致脑出血,进而致使第三脑室穿孔和额叶大面积损伤的患者病例。神经外科手术后,患者的总体状况有所改善,但尽管如此,他仍表现出额叶综合征的症状,在抽象思维和反思领域出现诸多症状,且高级情感显著减退。该病例中非常有趣的是神经语言学症状表现。康复治疗和药物治疗非常成功。此病例非常有意思,因为它包含了许多被称为“额叶综合征”的症状。展示额叶在心理生活的整体过程中的作用以及左半球在言语的认知和协调过程及中枢神经系统其他高级功能中的作用也很重要。

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