Goldstein L H, Bernard S, Fenwick P B, Burgess P W, McNeil J
Neuropsychiatry Unit, Maudsley Hospital, London.
J Neurol Neurosurg Psychiatry. 1993 Mar;56(3):274-6. doi: 10.1136/jnnp.56.3.274.
Following a 5 cm left frontal lobectomy for the removal of a mixed astrocytoma-oligodendroglioma, a 51 year old right handed man showed a marked dissociation between his performance on standard neuropsychological tests and his everyday behaviour. In contrast to his intact neuropsychological test performance, he was impaired on a test of "strategy application" which requires goal articulation, plan specification, self-monitoring, and evaluation of outcomes, as well as the establishment of mental "markers" to trigger specific behaviour. Strategy application disorder can therefore be produced by a unilateral circumscribed frontal lobe lesions.
一名51岁的右利手男性因切除混合性星形细胞瘤-少突胶质细胞瘤接受了5厘米的左额叶切除术，术后他在标准神经心理学测试中的表现与日常行为之间出现了明显的分离。与他正常的神经心理学测试表现形成对比的是，他在一项“策略应用”测试中表现受损，该测试需要明确目标、制定计划、自我监控和评估结果，以及建立心理“标记”以触发特定行为。因此，单侧局限性额叶病变可导致策略应用障碍。
