左壳核梗死后语义障碍的神经位点1例病例分析
|
摘要
<正>在临床上,左侧壳核脑卒中后的急性和亚急性期患者的语言障碍主要表现为听理解障碍、阅读理解障碍、图命名困难,但是朗读保留。表现为视觉通路的字形-语义通路损害,而字形-语音通路保留。这种语言障碍是因左侧壳核损伤后造成的?还是其邻近组织结构水肿,如外囊、最外囊、钩状束或下额枕束受压或受损造成?这个问题长期困扰着我们。左下额枕束是视觉腹侧流的主要加工通路,它从枕叶出发,
引文
[1]Friederici AD,Hahne A,von Cramon DY.First-pass versus second-pass parsing processes in a Wernicke's and a Broca's aphasic:Electrophysiological evidence for a double dissociation[J].Brain Lang,1998,62:311-341.
[2]Abutalebi J,Della Rosa PA,Gonzaga AK.The role of the left putamen in multilingual language production[J].Brain&Language,2013,125:307-315.
[3]Ungerleider LG,Haxby JV.“What” and “where”in the human brain[J].Curr Opin Neurobiol,1994,4(2):157-165.
[4]Duffau H,Moritz-Gasser S,Mandonnet E.A re-examination of neural basis of language processing:Proposal of a dynamic hodotopical model from data provided by brain stimulation mapping during picture naming[J].Brain Lang,2014,131:1-10.
[5]Martino J,De Witt Hamer PC,Vergani F,et al.Cortex-sparing fiber dissection:An improved method for the study of white matter anatomy in the human brain[J].J Anat,2011,219(4):531-541.
[6]Martino J,Brogna C,Gil Robles S,et al.Anatomic dissection of the inferior fronto-occipital fasciculus revisited in the lights of brain stimulation data[J].Cortex,2010,46:691-699.
[7]Duffau H,Gatignol P,Mandonnet E,et al.New insights into the anatomo-functional connectivity of the semantic system:a study using cortico-subcortical electrostimulations[J].Brain,2005,128:797-810.
[8]Mandonnet E,Nouet A,Gatignol P,et al.Does the left inferior longitudinal fasciculus play a role in language?A brain stimulation study[J].Brain,2007,130,623-629.
[9]Duffau H,Gatignol P,Moritz-Gasser S,et al.Is the left uncinate fasciculus essential for language?A cerebral stimulation study[J].J Neurol,2009,256:382-389.
[10]Paulesu E,McCrory E,Fazio F,et al.A cultural effect on brain function[J].Nat Neurosci,2000,3:91-96.
[11]Paulesu E,Frith CD,Frackowiak RS.The neural correlates of the verbal component of working memory[J].Nature,1993,362:342-345.
[12]Thompson-Schill SL,D'Esposito M,Aguirre GK,et al.Role of left inferior prefrontal cortex in retrieval of semantic knowledge:a reevaluation[J].Proc Natl Acad Sci,1997,94:14792-14797.
[13]Binder JR,Desai RH,Graves WW,et al.Where is the semantic system?A critical review and meta-analysis of 120functional neuroimaging studies[J].Cerebral Cortex,2009,19(12):2767-2796.
[14]Mechelli A,Josephs O,Ralph L,et al.Dissociating stimulus-driven semantic and phonological effect during reading and naming[J].Human Brain Mapping,2007,28(3):205-217.
[15]Makris N,Pandya DN.The extreme capsule in humans and rethinking of the language circuitry[J].Brain Struct Funct,2009,213(3):343-358.
[16]Kier EL,Staib L H,Davis LM,et al:MR imaging of the temporal stem:Anatomic dissection tractography of the uncinate fasciculus,inferior occipitofrontal fasciculus,and Meyer's loop of the optic radiation[J].Am J Neuroradio,2004,l25:677-691.
[17]Rosenbaum RS,Winocur G,Moscovitch M.New views on old memories:Re-evaluating the role of the hippocampal complex[J].Behav Brain Res,2001,127:183-197.
[18]Deweer B,Pillon B,Pochon JB,et al.Is the HM story on a“remote memory?”Some facts about hippocampus and memory in humans[J].Behav Brain Res,2001,127:209-224.
[19]Basilakos A,Fillmore PT,Rorden C,et al.Regional white matter damage predicts speech fluency in chronic poststroke aphasia[J].Frontiers inhuman Neuroscience,2014,8:845-853.
[20]Ripollés P,Biel D,Pe?aloza C,et al.Strength of temporal white matter pathways predicts semantic learning[J].J Neurosci,2017,37(46):11101-11113.
[21]Harvey DY,Wei T,Ellmore TM,et al.Neuropsychological evidence for the functional role of the uncinate fasciculus in semantic control[J].Neuropsychologia,2013,51:789-801.
[2]Abutalebi J,Della Rosa PA,Gonzaga AK.The role of the left putamen in multilingual language production[J].Brain&Language,2013,125:307-315.
[3]Ungerleider LG,Haxby JV.“What” and “where”in the human brain[J].Curr Opin Neurobiol,1994,4(2):157-165.
[4]Duffau H,Moritz-Gasser S,Mandonnet E.A re-examination of neural basis of language processing:Proposal of a dynamic hodotopical model from data provided by brain stimulation mapping during picture naming[J].Brain Lang,2014,131:1-10.
[5]Martino J,De Witt Hamer PC,Vergani F,et al.Cortex-sparing fiber dissection:An improved method for the study of white matter anatomy in the human brain[J].J Anat,2011,219(4):531-541.
[6]Martino J,Brogna C,Gil Robles S,et al.Anatomic dissection of the inferior fronto-occipital fasciculus revisited in the lights of brain stimulation data[J].Cortex,2010,46:691-699.
[7]Duffau H,Gatignol P,Mandonnet E,et al.New insights into the anatomo-functional connectivity of the semantic system:a study using cortico-subcortical electrostimulations[J].Brain,2005,128:797-810.
[8]Mandonnet E,Nouet A,Gatignol P,et al.Does the left inferior longitudinal fasciculus play a role in language?A brain stimulation study[J].Brain,2007,130,623-629.
[9]Duffau H,Gatignol P,Moritz-Gasser S,et al.Is the left uncinate fasciculus essential for language?A cerebral stimulation study[J].J Neurol,2009,256:382-389.
[10]Paulesu E,McCrory E,Fazio F,et al.A cultural effect on brain function[J].Nat Neurosci,2000,3:91-96.
[11]Paulesu E,Frith CD,Frackowiak RS.The neural correlates of the verbal component of working memory[J].Nature,1993,362:342-345.
[12]Thompson-Schill SL,D'Esposito M,Aguirre GK,et al.Role of left inferior prefrontal cortex in retrieval of semantic knowledge:a reevaluation[J].Proc Natl Acad Sci,1997,94:14792-14797.
[13]Binder JR,Desai RH,Graves WW,et al.Where is the semantic system?A critical review and meta-analysis of 120functional neuroimaging studies[J].Cerebral Cortex,2009,19(12):2767-2796.
[14]Mechelli A,Josephs O,Ralph L,et al.Dissociating stimulus-driven semantic and phonological effect during reading and naming[J].Human Brain Mapping,2007,28(3):205-217.
[15]Makris N,Pandya DN.The extreme capsule in humans and rethinking of the language circuitry[J].Brain Struct Funct,2009,213(3):343-358.
[16]Kier EL,Staib L H,Davis LM,et al:MR imaging of the temporal stem:Anatomic dissection tractography of the uncinate fasciculus,inferior occipitofrontal fasciculus,and Meyer's loop of the optic radiation[J].Am J Neuroradio,2004,l25:677-691.
[17]Rosenbaum RS,Winocur G,Moscovitch M.New views on old memories:Re-evaluating the role of the hippocampal complex[J].Behav Brain Res,2001,127:183-197.
[18]Deweer B,Pillon B,Pochon JB,et al.Is the HM story on a“remote memory?”Some facts about hippocampus and memory in humans[J].Behav Brain Res,2001,127:209-224.
[19]Basilakos A,Fillmore PT,Rorden C,et al.Regional white matter damage predicts speech fluency in chronic poststroke aphasia[J].Frontiers inhuman Neuroscience,2014,8:845-853.
[20]Ripollés P,Biel D,Pe?aloza C,et al.Strength of temporal white matter pathways predicts semantic learning[J].J Neurosci,2017,37(46):11101-11113.
[21]Harvey DY,Wei T,Ellmore TM,et al.Neuropsychological evidence for the functional role of the uncinate fasciculus in semantic control[J].Neuropsychologia,2013,51:789-801.