在主导左叶的手术后命名物体:风险因素,时间进程和长期结果
Katrin Walther1, Caroline Reindl2, Michael Schwarz2
1Department of Neurology, Universitätsklinikum Erlangen, Erlangen, Bayern, Germany katrin.walther@uk-erlangen.de.
Journal of neurology, neurosurgery, and psychiatry
|December 12, 2024
概括
在主导叶的手术可以损害物体命名. 虽然一些患者康复了,但永久的赤字仍然在26%,根据早期衰退的严重程度可以预测.
科学领域:
- 神经科学是一个神经科学.
- 神经外科 神经外科
- 发病学 (Epileptology) 是一个专业的学科.
背景情况:
- 叶手术可能导致命名缺陷.
- 有限的数据存在于这些程序后的长期命名恢复.
研究的目的:
- 评估叶手术后的短期和长期对象命名结果.
- 确定影响命名恶化和恢复的因素.
主要方法:
- 对象命名 (波士顿命名测试) 评估了手术前,手术后早期 (6-12个月) 和手术后晚期 (≥2年).
- 研究了左侧 (主导) 和右侧 (非主导) 叶切除的患者.
主要成果:
- 在左叶患者中,42%的患者在术后早期经历了命名衰退,而在右叶患者中,这一比例为3%.
- 预测LTLE下降的因素包括较低的手术前口头记忆,较早的发作年龄,后部切除和较晚的发作发作.
- 39%早期衰退的LTLE患者在后期随访时恢复了命名能力,恢复与最初衰退的程度有关.
结论:
- 不到50%的患有主导叶切除的患者表现出显著的命名下降.
- 命名赤字经常显示部分复苏,但26%的赤字是永久的.
- 术后早期命名下降的严重程度预测了长期视觉对象命名结果.
更多相关视频
05:54Stereo-Electro-Encephalo-Graphy SEEG With Robotic Assistance in the Presurgical Evaluation of Medical Refractory Epilepsy: A Technical Note
Published on: June 13, 2016
17.2K
09:00Investigating the Function of Deep Cortical and Subcortical Structures Using Stereotactic Electroencephalography: Lessons from the Anterior Cingulate Cortex
Published on: April 15, 2015
12.3K
相关概念视频
01:28Lateralization
317
Brain lateralization refers to the division of mental processes and functions between the two hemispheres of the brain, a phenomenon that optimizes neural efficiency and underpins complex abilities in humans. This specialization allows each hemisphere to perform tasks where it has a comparative advantage, facilitating more refined cognitive capabilities across different domains.
317
01:24Arteries of the Lower Limbs
181
Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
181