INTELLIGENCE AND LEFT-HEMISPHERE DISEASE - THE ROLE OF APHASIA, APRAXIA AND SIZE OF LESION

INTELLIGENCE AND LEFT-HEMISPHERE DISEASE - THE ROLE OF APHASIA, APRAXIA AND SIZE OF LESION
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DOI:
10.1093/brain/104.4.721
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发表时间:
1981-01-01
期刊:
影响因子:
14.5
通讯作者:
SPINNLER, H
SPINNLER, H
中科院分区:
医学1区
文献类型:
--
作者:
BASSO, A;CAPITANI, E;SPINNLER, H

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对173名左半球患者进行了Raven进行性测验和韦氏行为量表的4个分测验,根据失语症的存在/不存在、类型(流利/不流利)和严重程度(中度/重度)进行细分。将每例受试者的构念性和想象性失用症评分及CT扫描资料进行统计学分析。在进行性测验和韦氏量表上得分较低的显著因素是失语症和建构性失用症。病变的部位和大小本身不能解释智力评分。失语症,失用症,智力测试成绩,和CT扫描数据之间的关系进行了讨论,试图澄清这些低智力测试成绩的意义,失语症,并评估在这种赤字的大脑病变的潜在作用。看来,有一些方法上的困难,复杂的解释的基础上进行的矩阵和韦氏评分的智力缺陷,因为这些测试的表现是不利的失语症和失用症的影响。
The Raven Progressive Matrices and four subtests of the Wechsler-Bellevue Performance Scale were given to 173 left hemisphere patients subdivided according to presence/absence, type (fluent/non-fluent) and severity (moderate/severe) of aphasia. Constructive and ideomotor apraxia scores and CT scan data of each subject entered the statistical analysis. Factors significant in producing a low score on Progressive Matrices and Wechsler-Bellevue were presence of aphasia and constructive apraxia. Site and size of lesion per se failed to account for the intelligence scores. The relationship between aphasia, apraxia, intelligence test scores, and CT scan data were discussed in an attempt to clarify the meaning of these low intelligence test scores in aphasics and to assess the underlying roles of the brain lesions in this deficit. It appears that there are a number of methodological difficulties complicating interpretation of the intellectual deficit based on the Progressive Matrices and Wechsler-Bellevue scores, since performance on these tests is adversely affected by both aphasia and apraxia.