Mesial frontal lobe syndromes: correlations between neurological deficits and radiological localizations.
Mesial frontal lobe syndromes: correlations between neurological deficits and radiological localizations.
复制标题
额叶内侧综合征：神经功能缺陷与放射定位之间的相关性。
DOI：
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发表时间：
1990
影响因子：
2.2
通讯作者：
H. Saito
中科院分区：
文献类型：
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作者：
H. Mochizuki;H. Saito
为了检测内侧额叶的功能子集，对 26 名患有内侧额叶病变的患者进行了研究。结果总结如下： (1) 偏瘫主要发生在下肢，是额叶内侧运动皮质患者常见的运动缺陷。四名患有补充性运动损伤但运动皮层未受损的患者表现出长期偏瘫。 (2)由于左侧辅助运动和上前额叶损伤，言语无力是常见症状。两名患有上前额叶损伤但辅助运动皮层未受累的患者出现短暂性沉默症。 (3)以动机低落为特征的情绪障碍也很常见。在这些患者中没有检测到半球偏侧性。 (4)与上前额叶极部和前部损伤有关的痴呆和记忆障碍。 (5)暂时性尿失禁仅因右上前额叶损伤而出现，永久性尿失禁则与双侧损伤有关。 (6)运动不能性沉默症与双侧扣带回等大面积损伤有关。 (7) 运动忽视和穿衣失用可能是由于与右半球病变相关的编程障碍所致。
In order to detect the functional subsets of the mesial frontal lobe, 26 patients with lesions involving mesial frontal lobe were investigated. The results were summarized as follows; (1) Hemiparesis predominantly in lower extremity was common motor deficit in patients with mesial frontal motor cortices. Four patients with supplementary motor damage sparing motor cortex showed long lasting hemiparesis. (2) Verbal adynamia was common symptom due to left supplementary motor and superior prefrontal damage. Transient mutism was found in two patients with superior prefrontal damage without the involvement of supplementary motor cortex. (3) Emotional disturbance characterized by depressed motivation was also common. No hemispheric laterality could be detected in these patients. (4) Dementia and memory disturbance related to the pole and anterior area of superior prefrontal damage. (5) Transient urinary incontinence was presented only by right superior prefrontal damage, and permanent incontinence related with bilateral damage. (6) Akinetic mutism was related with bilateral large damage including cingulate. (7) Motor neglect and dressing apraxia possibly due to programming disturbance related to lesions in right hemisphere.