丘脑卒中的神经心理研究  

Neuropsychological Study in Patients with Thalamic Stroke

作　　者：肖军[1] 廖振德[1] 

机构地区：[1]四川省人民医院神经内科

出　　处：《医学科技》1999年第2期12-15,共4页

摘　　要：目的 探讨丘脑卒中后神经心理学改变,特别是记忆功能和言语的改变。方法 通过CT 或 MRI 确诊的丘脑卒中病人64例。经侧性优势检查分为优势侧丘脑卒中36例,非优势侧28例,并设对照组18例,采用失语检查法、WMS、SDS 和 MMSE 进行检查、对照相关分析。结果 优势侧丘脑卒中病人 WMS 各项分测验成绩及 MQ 与对照组相比较无论是言语的或视觉的记忆均有显著性。非优势侧丘脑卒中病人的 MQ 与对照组比较有显著性,其中主要以图片回忆、视觉再生的视觉记忆显著性明显,而联想、理解的言语记忆与对照组相比较无显著性差异。17例优势侧丘脑卒中有不同程度的失语,而非优势侧丘脑卒中无失语表现。结论 优势侧丘脑卒中可引起言语及视觉图形记忆障碍和失语,非优势侧丘脑卒中仅引起视觉图形记忆障碍。Objective To investigate the neuropsychological changes with thalamic stroke.Methods64 cases of thalamic stroke were determined by CT and MRI.Divided dominant thalamic stroke 36 cases andnondominant thalamic stroke 28 cases by dominant side test.Control group 18 cases.All patients and controlswere examined by neuropsychologic examination including Aphasic Test,WMS,SDS,MMSE et al.ResultsCompared with control group,all subscales score and MQ of WMS have significance in patients with domi-nant thalamic stroke.Only visual memory scale score have significance in patients with nondominant strokecompared with controls.Aphasic examination revealed aphasia in 17 cases with dominant thalamic stroke.Conclusion The patients with dominant thalamic stroke result in both verbal and visual memory dysfunctionand aphasia.Nondominant stroke result in only visual memory disturbance.

关 键 词：丘脑卒中 神经心理 记忆障碍 失语 

分 类 号：R743.3[医药卫生—神经病学与精神病学]