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选择20例经CT扫描诊断为单侧丘脑病变患者,于发病2~4周进行失语症、记忆、结构、运用及计算等神经心理学检查。结果2/3患者有失语,约半数患者出现近记忆、计算及摆方块障碍,约1/3患者出现手指失认、左右失认等Gerstmann's综合征表现。讨论了丘脑性失语的特点,认为这是一种独立失语类型。指出丘脑语言优势多为左侧,右侧亦存在语言功能,少数人可为优势侧。丘脑病变导致的近记忆、计算、结构等神经心理学障碍与语言障碍程度及演变不呈平行关系。此研究为丘脑病变致神经心理障碍的临床诊断和康复治疗计划提供客观依据。
20 patients diagnosed as unilateral thalamic lesions by CT scan were selected and neuropsychological tests such as aphasia, memory, structure, application and calculation were performed at 2 to 4 weeks after onset. Results 2/3 of the patients had aphasia, about half of them had near memory, calculation and pendulum block, and about 1/3 of patients had finger deformity, left or right dementia and other Gerstmann’s syndrome. Discusses the characteristics of thalamic aphasia, that this is an independent type of aphasia. It is pointed out that the superiority of the thalamic language is left, the right also has the language function, and the minority can be the superior side. Neuropsychological disorders such as near memory, computing, and structure caused by thalamic lesions are not parallel to the extent and evolution of language disorders. This study provides an objective basis for the clinical diagnosis and rehabilitation planning of neuropsychological disorders caused by thalamic encephalopathy.