Shubenko-Shubina I E
Zh Nevropatol Psikhiatr Im S S Korsakova. 1976;76(8):1139-42.
In order to evaluate the possible psychopathological symptomatology the authors analyzed the results of a clinico-dynamical observation of 176 patients in the acute period of a stroke. Among 128 patients with the right hemisphere localization of the focus (the main group) in 60 cases (47%) there were revealed psychopathological symptoms whereas in the control group (48 cases) with left hemispheric foci only 2 patients (4.2%) such disturbances were noted. The main expressions of psychopathological syndromes in patients with lesions of the right hemisphere were anosognosia, certain emotional reactions in the form of euphoria, a drop in purposeful activity, motor and mental aspontanity and specific confabulatory disorders. The qualitative and quantitative specificity of psychopathological syndromes in focal vascular lesions of the right hemisphere is supplementary material for further deep studies of the functional asymmetry of the brain hemispheres.
为了评估可能出现的精神病理症状，作者分析了176例中风急性期患者的临床动力学观察结果。在128例病灶位于右侧半球的患者（主要组）中，60例（47%）出现了精神病理症状，而在病灶位于左侧半球的对照组（48例）中，只有2例（4.2%）出现了此类障碍。右侧半球病变患者精神病理综合征的主要表现为疾病感缺失、以欣快形式出现的某些情绪反应、有目的活动减少、运动和精神活动缺乏主动性以及特定的虚构障碍。右侧半球局灶性血管病变中精神病理综合征的定性和定量特异性是进一步深入研究大脑半球功能不对称性的补充材料。
