左半球病变患者的运动缺陷的 anosognosia:一个系统的审查
Maura Simioni1,2,3, Stefania Basilico1,2,3, Martina Gandola1,2,3
1Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.
Frontiers in neurology
|November 14, 2025
概括
运动缺陷的无意识,在脑损伤后拒绝,在左半球病变中比我们想象的更频繁. 这挑战了右半球的挑战.
科学领域:
- 神经科学是一个神经科学.
- 神经学 神经学
- 认知科学 认知科学
背景情况:
- 运动缺陷的无意识是脑损伤患者否认他们的运动障碍的情况.
- 虽然它经常与右半球病变有关,但也在左半球损伤中观察到.
- 了解左半球无意识症的机制和临床变异是有限的.
研究的目的:
- 系统地审查左脑损伤患者运动缺陷的无意识症的患病率,严重程度和临床特征.
- 为了确定解剖相关性,并探索手性和非典型半球专业化的影响.
- 为了评估在这个人群中使用的对 anosognosia 的评估方法.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 在多个数据库中搜索发现了893项研究,其中包括25项.
- 专注于患病率,严重程度,临床表现,解剖相关性和评估方法.
主要成果:
- 在左脑损伤患者中,因运动缺陷而出现无意识症的患病率在3.6%至50%之间.
- 广泛的患病率估计归因于评估工具和诊断标准的异质性.
- 病变数据显示与与右半球无意识症相关的网络重叠.
结论:
- 在左半球病变中,对运动缺陷的无意识比以前认为的更为常见.
- 这一发现质疑右半球在运动意识中的排他性作用.
- 需要进一步的多中心研究来表征左侧病变无意识症,并调查半球专业化.
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