Lazareff J A, Castro-Sierra E
Department of Neurosurgery, Hospital Infantil de Mexico Federico Gomez, Mexico D.F., Mexico.
Childs Nerv Syst. 1996 Feb;12(2):81-6. doi: 10.1007/BF00819501.
Motivated by the extensive clinical and experimental evidence that links the cerebellum to cognitive processes, we analyzed the auditory and visual memory of nine children with cerebellar tumors. Five patients had midline lesions and four had cerebellar hemispheric tumors. The patients were tested before and after surgery. One of the patients was also tested at 4 and 24 months after surgery. A third group constituted by four children, siblings of some of the patients, served as control. Statistically significant differences (P < 0.05) were found in the test of auditory memory, in which children with cerebellar tumors made a higher number of errors than their normal counterparts. Surgery performed according standard techniques did not increase significantly the number of errors in any of the tested categories. Location of the tumor (hemispheric vs midline) was not a determinant of the performance of the children. The patient tested up to 2 years after surgery demonstrated a progressive improvement in the performance of visual and auditory memory tasks. Our results provide further evidence that the cerebellum plays a role in the integration of auditory stimuli.
基于将小脑与认知过程联系起来的大量临床和实验证据,我们分析了9名患有小脑肿瘤儿童的听觉和视觉记忆。5名患者有中线病变,4名有小脑半球肿瘤。这些患者在手术前后均接受了测试。其中一名患者在术后4个月和24个月也进行了测试。由4名儿童组成的第三组作为对照组,这些儿童是部分患者的兄弟姐妹。在听觉记忆测试中发现了具有统计学意义的差异(P < 0.05),患有小脑肿瘤的儿童比正常儿童犯的错误更多。按照标准技术进行的手术在任何测试类别中均未显著增加错误数量。肿瘤的位置(半球型与中线型)并非儿童表现的决定因素。术后接受长达2年测试的患者在视觉和听觉记忆任务的表现上呈现出逐步改善。我们的结果提供了进一步的证据,表明小脑在听觉刺激整合中发挥作用。