REMOTE CORTICAL DYSFUNCTION AS A POSSIBLE CAUSE OF SUBCORTICAL NEGLECT - A REGIONAL CEREBRAL BLOOD-FLOW STUDY

被引:6
作者
HUBLET, C [1 ]
DEMEURISSE, G [1 ]
PATERNOT, J [1 ]
COLSON, C [1 ]
CAPON, A [1 ]
机构
[1] FREE UNIV BRUSSELS,HOP UNIV BRUGMANN,SERV DIAGNOST RADIO ISOTOPES,B-1020 BRUSSELS,BELGIUM
关键词
STROKE; DIASCHISIS; CEREBRAL BLOOD FLOW; NEGLECT;
D O I
10.1159/000117144
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Cortical remote effects of right deep-seated lesions were studied with two cerebral blood flow measurement methods (two-dimensional xenon-133 inhalation and 99mTc HMPAO SPECT) in a population of 13 right-handed stroke patients. A neuropsychological battery of tests suitable for assessment of possible visual neglect was performed. Neglect was present in 7 cases. A regional cortical hypoperfusion was observed in all patients. However, in neglect patients it was more extended and involved the right inferior parietal region suggesting a causal relationship between cortical dysfunction and neuropsychological deficit. This finding supports the model attributing neglect to a unilateral attention-arousal defect in a cortico-limbic-reticular loop.
引用
收藏
页码:254 / 258
页数:5
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