Hirai S, Sakai Y
Department of Neurology, Gunma University School of Medicine.
Rinsho Shinkeigaku. 1993 Dec;33(12):1304-6.
Motor impersistence is the term introduced by Fisher to describe the inability to sustain certain simple voluntary acts such as keeping eyes closed, protruding the tongue etc. He considered it a specific, nondominant hemisphere symptom, but some investigators denied its relationship to the right hemisphere damage. We considered that this difference might depend on the following two features of MI; the one is inability to maintain one of these simple acts so long as normal persons do, the other is inability to perform more than two of these acts simultaneously. When we attached importance to the latter feature and defined MI as inability to protrude the tongue with eyes closed, this phenomenon was clearly related to the right hemisphere damage. The responsible lesion was suggested to be located in area 6 or 8 in the territory of the right middle cerebral artery. The mechanism of MI was also reported.
运动持续性不能是费希尔提出的术语,用于描述无法维持某些简单的随意动作,如闭眼、伸舌等。他认为这是一种特定的、非优势半球症状,但一些研究者否认其与右半球损伤的关系。我们认为这种差异可能取决于运动持续性不能的以下两个特征:一是无法像正常人那样长时间维持这些简单动作中的一个,二是无法同时进行超过两个这样的动作。当我们重视后一个特征并将运动持续性不能定义为闭眼伸舌不能时,这种现象显然与右半球损伤有关。据推测,责任病灶位于右大脑中动脉供血区域的6区或8区。运动持续性不能的机制也有报道。