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一侧丘脑病变致健忘多由梗死、出血和外伤引起。作者报告1例左丘脑前内侧部梗死致严重健忘,1年半后症状仍无改善,并进行讨论。 患者男性,60岁,右利手,记忆障碍5d入院,有高血压史。神经系统:睡眠稍多,定向力轻度障碍,记忆障碍但远记忆保存。3+5等一位数简单计算可完成,100-7等加减计算不能完成。一般常识保存。无失语、失用、失认,无运动感觉障碍。神经心理学:简易智力测验11/30,主要为定向力、短期记忆、计算力受损。WAIS-R:言语性IQ(VIQ)64,动作性IQ(PIQ)61。三宅记忆检查有关联对话0-0-0,无关联对话无法进行。
Side of the thalamus lesions caused by forgetfulness caused by infarction, bleeding and trauma. The authors report a severe amnesia caused by anterior infarction of the left thalamus, with no improvement after 1 year and a half, and to discuss them. Male patient, 60 years old, right hand, memory impairment 5d admission, history of hypertension. Nervous system: slightly more sleep, mild dyskinesia, memory impairment but far memory retention. 3 +5 and other one-digit simple calculation can be completed, 100-7 and other addition and subtraction calculations can not be completed. General knowledge preservation. No aphasia, loss of use, derecognition, no motor impairment. Neuropsychology: simple intelligence test 11/30, mainly for the directional force, short-term memory, computational damage. WAIS-R: Speech IQ (VIQ) 64, Action IQ (PIQ) 61. Miyake memory check related dialogue 0-0-0, no related dialogue can not be performed.