《中国康复理论与实践》 ›› 1999, Vol. 5 ›› Issue (01): 17-19.

• 理论与实践 • 上一篇    下一篇

脑血管病患者失认症的神经心理学研究

闫俊; 王荫华   

  1. 北京医科大学第一医院神经科
  • 收稿日期:1998-06-30 出版日期:1999-03-25 发布日期:1999-03-25

Neuropsychological Study of Agnosia in Patients with Cerebral Vascular Disease

Yan Jun,Wang Yinhua   

  1. Chinese Journal of Rehabilitation Theory & Practice.-1999,5(1):17~19
  • Received:1998-06-30 Published:1999-03-25 Online:1999-03-25

摘要: 为了解脑血管病患者失认症的类型与半球侧向性,对35例经影像学证实为单一病灶的脑血管病患者进行了汉语失语症检查法及自行设计的失认症检查法测试。结果显示:左半球组出现了物体、图画、色彩的失认,失认性失算,听失认,触觉失认,忽视,地理失定向,身体失认和病觉缺失;右半球组出现了色失认,忽视,地理失定向和病觉缺失。结论:大多数右利手患者的视觉、听觉、触觉、身体认知的优势半球位于左侧大脑半球;右半球可以产生色失认;忽视、病觉缺失在任何半球病变均可产生,右半球的机率高于左半球

关键词: 脑血管病, 失认症, 神经心理学

Abstract: In order to study the type and cerebral location of agnosia in patients with cerebral vascular disease, 35 patients with single cerebral lesion determined by CT or MRI were checked. The standardized Aphasia Battery in Chinese and self designed tasks about agnosia were adopted. The results showed that there were object agnosia, picture agnosia, color agnosia, agnosia acalculia, auditory agnosia, tactile agnosia, neglect, environmental agnosia, body agnosia in left hemisphere group, and color agnosia, neglect, environmental agnosia, anosognosia in right group. The conclusions were that for the majority of dextrals, cerebral dominance for visual, auditory, tactile, body cognition all located in the left hemisphere. Color agnosia may happen in right hemisphere. Either hemisphere can produce neglect, anosognosia, and the incidence in right hemisphere is higher than in left one.

Key words: agnosia, cerebral vascular disease, neuropsychology