Are neuropsychiatric symptoms associated with evidence of right brain injury in referrals to a neuropsychiatric brain injury unit?
Are neuropsychiatric symptoms associated with evidence of right brain injury in referrals to a neuropsychiatric brain injury unit?
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DOI：
10.1080/02699050150209147
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发表时间：
2001-01-01
期刊：
影响因子：
1.9
通讯作者：
Fleminger, S
中科院分区：
文献类型：
--
作者：
Borek, LL;Butler, R;Fleminger, S
研究表明，神经精神症状在右侧大脑损伤的患者中更为常见。然而，大多数研究都检查了穿透伤患者，因为这可以更准确地定位脑损伤。这项研究调查了在神经精神科就诊的非穿透性脑损伤患者中是否会发现类似的关联。在两年的时间里，对98名转介进行了审查。使用常规手术笔记、脑电图和神经成像对损伤进行定位。总共有34名患者(35%)主要为右侧损伤，33名(34%)为左侧损伤，31名(32%)为弥漫性或双侧损伤。右侧损伤与幻觉相关(p=0.05)，左侧损伤与交谈(p=0.05)和缺乏自知力(p=0.07)相关。这些结果与穿透性头部损伤患者的研究结果一致。他们建议，损伤偏侧性的证据可能有助于计划神经精神科脑损伤病房患者的康复。
Studies suggest that neuropsychiatric symptoms are more common in patients with injury to the right side of the brain. However, most studies have examined patients with penetrating injuries because these allow more accurate localization of brain damage. This study investigates whether a similar association would be found in patients with non-penetrating brain injuries presenting to a neuropsychiatric unit. Over a 2 year period, 98 referrals were examined. Damage was localized using routine operation notes, EEG and neuroimaging. In total, 34 patients (35%) had a predominately right-sided injury, 33 (34%) had a left-sided injury and 31 (32%) had a diffuse or bilateral injury. Right-sided injuries were associated with hallucinations (p = 0.05), and left-sided injuries were associated with confabulation (p = 0.05) and lack of insight (p = 0.07). These results are consistent with findings from patients with penetrating head injuries. They suggest that evidence of the laterality of injury may be useful for planning the rehabilitation of patients seen in neuropsychiatric brain injury units.