Gerstmann综合征临床与神经心理学研究  

Study of clinical and neuropsychology of Gerstmann syndrome

作　　者：曹辉[1,2] 李华[1,2] 

机构地区：[1]新疆石河子大学医学院第三附属医院 [2]石河子市人民医院神经内科,新疆石河子832000

出　　处：《中风与神经疾病杂志》2011年第9期815-816,共2页Journal of Apoplexy and Nervous Diseases

摘　　要：目的研究Gerstmann综合征(GS)的临床与神经心理学特点。方法采用汉语失语症成套测评(ABC)、书写及视空间检查,对259例经CT或MRI检查确诊为脑卒中或脑损伤的患者进行评价。结果 (1)259例患者中有19例患有Gerstmann综合征(GS),其中9例有GS四主征、10例有GS的核心症状、命名性失语(AA)5例、经皮质运动性失语(TCM)2例、经皮质感觉性失语(TCS)4例、Wernicke失语3例、构音障碍2例、无失语5例;(2)病变部位:左顶枕、左侧颞顶、左侧颞顶枕、左侧额顶枕和左侧基底节共17例,右侧基底节、顶叶损害2例。结论 (1)Gerstmann综合征不是一个独立的综合征;(2)其病变部位不仅仅限于优势半球顶叶。Objective To study clinical and neuropsychology features of patients with Gerstmann syndrome(GS).Methods 259 patients with stroke diagnosed by CT or MRI were detected by the Aphasia Battery of Chinese(ABC),Writing Test and the Visual Space Test.Results(1)19 patients of the 259 cases had Gerstmann syndrome(GS),and 9 patients of the 19 cases had agraphia,acalculia,the tetrad of GS-finger agnosia and left-right disorientation,and 10 cases of GS with core symptoms.5 cases showed anomic aphasia(AA),2 showed transcortical motor aphasia(TCM),4 showed transcortical sensory aphasia(TCS),3 with Wernicke aphasia(WA),2 with dysarthria,and no aphasia was in 5 Cases.(2)The lesion site was as follows:17 cases localized to left parietal occipital lesion,left temporoparietal,left temporoparietal occipital,left occipital and left basal ganglia;2 cases localized to right basal ganglia,parietal lobe damage.Conclusion Gerstmann syndrome is not a single disorder;The site of cerebral impairment can be seen not only in dominant lobus parietalis.

关 键 词：GERSTMANN综合征 临床 神经心理学 失语 

分 类 号：R742[医药卫生—神经病学与精神病学]