Limb apraxia in acute ischemic stroke: A neglected clinical challenge?
Limb apraxia in acute ischemic stroke: A neglected clinical challenge?
复制标题
急性缺血性中风的肢体失用症：一个被忽视的临床挑战？
DOI：
10.1080/13554794.2012.741253
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发表时间：
2013
期刊：
影响因子：
0.8
通讯作者：
Borchers
中科院分区：
文献类型：
--
作者：
Schell;Suchan;Himmelbach;Haarmeier;Borchers
肢体失用症和执行功能障碍的症状目前没有被美国国立卫生研究院中风量表明确考虑，因此，在疑似中风患者的急性护理中，临床医生没有进行常规测试。对1例右脑缺血性卒中致左侧感觉运动性偏瘫急性发作的右利手患者进行了神经心理测试、临床检查、MRI和功能磁共振成像(FMRI)检查。在最初的临床检查中，没有正确检测到执行无意义和有意义的手势的缺陷，但后来通过神经心理测试发现了这一缺陷。相反，患者在急性护理环境中无法对特定指令做出反应被错误地反映为听觉理解的严重缺陷。FMRI显示右利手患者的语言位于右半球。我们建议在中风患者的急性临床护理中包括肢体失用症状的床边测试。肢体活动障碍和语言障碍之间的区别可能会变得复杂，因为这两个功能是共同的半球共同定位。
Symptoms of limb apraxia and executive dysfunctions are currently not explicitly considered by the National Institutes of Health Stroke Scale and, thus, not routinely tested by clinicians in the acute care of patients with suspected stroke. Neuropsychological testing, clinical examination, MRI, and functional magnetic resonance imaging (fMRI) were performed in a right-handed patient with acute onset of left-sided sensorimotor hemiparesis due to a right hemisphere ischemic stroke. Deficits in the execution of meaningless and meaningful gestures were not detected properly on initial clinical examination but were revealed later on through neuropsychological testing. Instead, the patient’s inability to respond to specific instructions in the acute care setting was mistaken to reflect severe deficits in auditory comprehension. fMRI revealed right-hemispheric localization of language in the right-handed patient. We suggest including a bedside test for limb apraxia symptoms in acute clinical care of stroke patients. The distinction between deficits in limb praxis and impairments of language can be complicated owing to the common hemispheric co-localization of the two functions.
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新的儿科床边备忘录。
DOI：
--
发表时间：
2006
期刊：
影响因子：
--
作者：
Awazu;M;粟津緑
通讯作者：
粟津緑
影响因子：
2.5
作者：
BRYDEN, MP;HECAEN, H;DEAGOSTINI, M
通讯作者：
DEAGOSTINI, M
影响因子：
--
作者：
Goldenberg, Georg
通讯作者：
Goldenberg, Georg
影响因子：
3.7
作者：
Goldenberg, Georg;Hermsdoerfer, Joachim;Karnath, Hans-Otto
通讯作者：
Karnath, Hans-Otto