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交叉性小脑失联络

Diaschisis.

作者信息

Meyer J S, Obara K, Muramatsu K

机构信息

Cerebrovascular Research Laboratory, Department of Veterans Affairs Medical Center, Houston, TX 77030.

出版信息

Neurol Res. 1993 Dec;15(6):362-6. doi: 10.1080/01616412.1993.11740164.

Abstract

Following acute, localized lesions of the central nervous system, arising from any cause, there are immediate depressions of neuronal synaptic functions in other areas of the central nervous system remote from the lesion. These remote effects result from deafferentation, a phenomenon known as "diaschisis". After an interval of time, which will vary directly with the severity of the lesion, functional recovery occurs due to synaptic reactivation of neurones. This is favourably influenced by rehabilitation. Diaschisis most commonly manifests itself by such neurological signs as impaired consciousness or cognitive impairments including dementia, dyspraxias, dystaxias, dysphasias, incoordination and sensory neglect. The nature of diaschisis has been demonstrated by widespread depressions of local cerebral blood flow and metabolism extending far beyond the anatomical lesion. Recovery of function is associated with recovery of local perfusion and metabolism.

摘要

中枢神经系统因任何原因出现急性局限性病变后,在远离病变的中枢神经系统其他区域会立即出现神经元突触功能抑制。这些远隔效应是由传入神经阻滞引起的,这一现象被称为“交叉性神经机能联系障碍”。经过一段时间(该时间与病变严重程度成正比)后,由于神经元突触重新激活,功能得以恢复。康复治疗对此有积极影响。交叉性神经机能联系障碍最常见的表现为意识障碍或认知障碍等神经学体征,包括痴呆、失用症、共济失调、言语障碍、运动不协调和感觉忽视。局部脑血流量和代谢广泛降低,范围远远超出解剖学病变部位,这证实了交叉性神经机能联系障碍的本质。功能恢复与局部灌注和代谢的恢复相关。

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