小脳出血後, 認知, 感情, 行動障害がリハビリテーションの障害となった1例
小脳出血後, 認知, 感情, 行動障害がリハビリテーションの障害となった1例
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小脑出血后认知、情绪和行为障碍阻碍康复一例
DOI：
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
豊三 佐藤
中科院分区：
文献类型：
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作者：
由理 工藤;中野 あずさ;厚子 佐藤;徹 今村;豊三 佐藤
最近的作者报道了小脑对认知功能的贡献，如执行功能，人格，空间认知，语言和记忆。Middleton和Strick展示了从齿状核到背外侧前额叶皮质的神经解剖投射。据报道，小脑疾病患者在神经心理学评估中存在认知障碍。本例小脑出血患者在神经心理学评估中表现为执行功能障碍和记忆障碍。在他的日常生活中，我们发现他表现出易受干扰的情感和抑制解除，这往往会扰乱康复过程。脑部MRI显示双侧额叶区域没有病变，但SPECT显示那里的血流量较低。要处理这些病例，我们应该认识到高级大脑功能受损的存在，而不仅仅是注意运动缺陷。
Recent authors reported a cerebellar contribution to cognitive functions such as executive function, personality, spatial cognition, language and memory. Middleton and Strick showed the neuroanatomical projection from the dentate nucleus to dorsolateral prefrontal cortex. Patients with cerebellar diseases were reported to have cognitive impairment in their neuropsychological assessments. The present patient with cerebellar hemorrhage showed disorder of executive function and memory disorder in his neuropsy-chological assessments. In his daily living, we found him to exhibit a distractible affection and disinhibition, which often disrupted the rehabilitation processes. A brain MRI showed no lesions in the bilateral frontal areas but SPECT showed a lower blood flow there. To approach these cases, we should recognize the existence of impaired higher brain function, and not only be mindful of motor deficits.
影响因子：
56.9
作者：
MIDDLETON, FA;STRICK, PL
通讯作者：
STRICK, PL