Compulsive manipulation of objects with right hand.
Compulsive manipulation of objects with right hand.
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强迫性地用右手操纵物体。
DOI：
10.2496/apr.5.764
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发表时间：
1985
期刊：
影响因子：
--
通讯作者：
Tamehisa Onoe
中科院分区：
文献类型：
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作者：
M. Notoya;Shigetada Suzuki;M. Kurachi;Yoshiko Koyama;Tamehisa Onoe
Mori 和 Yamadori (1982) 首先描述了左大脑前动脉闭塞后强迫性操作工具的现象。我们也经历过类似的案例，并特别研究了强迫性操纵物体的临床状态、这种行为与其他类似现象的区别以及潜在的神经心理学机制。 患者是一名58岁男性，患有左大脑前动脉闭塞。 CT扫描证实病变部位为左侧额叶内侧和胼胝体前部。在这种情况下，除了本能的抓握反应外，我们还观察到以下特征； (1) 他强迫性地用右手操纵物体。 （2）他还强迫性地用同一只手拿食物。 (3)他的左手抑制了右手的这种行为。 (4) 他使用物体的节奏比平时更快。 (5) 他可以双手一起使用该物体。 (6) 重复右手的这种操作，除非它停止了。 我们认为这种现象是抓握反射的延伸，抑制机制的释放发生在习得运动的层面上。因此，干扰水平低于莱尔米特提出的利用行为，但高于本能掌握反应。
Mori and Yamadori (1982) first described a phenomenon of a compulsive manipulation of tools following an occulusion of the left anterior cerebral artery. We have also experienced a similar case and studied especially the clinical state of the compulsive manipulation of objects, a difference between this behavior and other similar phenomena, and the underlying neuropsychological mechanisms. The patient was a 58-year-old man who had suffered from an occulusion of the left anterior cerebral artery. The site of lesion cofirmed by CT scan was the left medial frontal lobe and the anterior corpus callosum. In this case we observed the following characteristics in addition to the instinctive grasp reaction ; (1) He compulsively manipulated objects with his right hand. (2) He also compulsively took foods with the same hand. (3) His left hand inhibited this behavior of the right hand. (4) He used the object with faster rhythm than normal. (5) He could use the object with both hands together. (6) This manipulation of the right hand was repeated unless it was stopped. We considered that this phenomenon was an extension of the grasping reflex, and the release of inhibitory mechanism occurred at the level of the learned movement. Thus the level of disturbance is lower than in the utilization behavior proposed by Lhermitte, but higher than in the instinctive grasp reaction.