自我整合,非个性化和强迫思维障碍的定位价值:一个系统的审查
Lars Etholm1, Jugoslav Ivanovic1, Vilde Stangebye Larsen2
1Department of Neurosurgery, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Epileptic disorders : international epilepsy journal with videotape
|December 10, 2024
概括
这次审查检查了焦点中自我整合,非个性化和强迫思维的障碍,以改善手术前评估. 研究结果表明,这些ictal现象具有广泛的,低至中等的可靠性,用于定位发性区域.
科学领域:
- 神经学 神经学
- 发病学 (Epileptology) 是一个专业的学科.
- 神经科学是一个神经科学.
背景情况:
- 焦点性的诊断依赖于精确地定位发性区域.
- 阴茎半理学为手术前评估提供了关键的线索.
- 特定的物质现象的局部化价值,如自我整合障碍,非个性化和强迫思维,需要进行系统的审查.
研究的目的:
- 系统地审查自我整合,非个人化和焦点中强迫思维障碍的局部价值.
- 为了总结这些ictal现象的当前解剖临床相关性.
- 为了指导在手术前评估中对ictal semiology的解释.
主要方法:
- 按照PRISMA和QUADAS2指南进行系统审查.
- 使用关键词搜索PubMed和EMBASE与自我整合,非个性化,强迫思维和发性区域相关的关键词.
- 包括同行评审的研究与可用的摘要和准确的数据,关于 semiology 和局部化/手术结果.
主要成果:
- 自我整合的障碍表明temporoparietal发性区域,可能涉及邻近的区域;横向的症状表明对侧侧重点.
- 缺乏个性化作为一种局部化的身体现象很少被确定.
- 强迫思维指向前运动前部或部发性区域.
- 目前自我整合和强迫思维障碍的局部化广泛存在,可靠性低至中等.
结论:
- 自我整合障碍和强迫思维在焦点中提供有限的,尽管可能有价值的,局部信息.
- 脱人格化是局部化的一个难以捉摸的现象.
- 需要进一步的研究,重点关注更罕见的视觉现象,先进的成像和立体EEG (SEEG),以完善发性区域的定义.
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