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Personal Neglect: A Comprehensive Theoretical and Anatomo-Clinical Review

机译：个人疏忽：综合理论和安原子临床审查

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摘要

Personal neglect (PN) is the hemi-inattention toward the contralesional bodily space that follows a cerebral lesion, usually to the right hemisphere. Objective: To provide a historical, comprehensive review of the different theoretical accounts, of the available diagnostic measures, of the relationship with different body representation disorders, and of recovery-related issues. Moreover, to review the anatomo-functional correlates of PN, focusing on group studies that used modern voxel-based lesion-symptoms mapping. Method: PubMed database was searched for all the available studies on PN conducted in the last 30 years. Relevant clinical data for each study were reported in a table, which was used as a reference for developing the discussion on the points of interest. Results: Evaluation tools for PN suffer from limitations and should include both face-and body-related testing as well as require both basic exploration and object use in the same personal space. Dedicated rehabilitative procedures are lacking and advocated, given that recovery of PN and extrapersonal neglect can be dissociated and their degree is not correlated. PN is almost constantly associated with a cohort of body representation disorders that do not reveal themselves unless specifically investigated. PN is significantly correlated to alterations at the level of both the anterior parietal cortex and the underlying fronto-parietal fiber bundles. Conclusions: The discussed data point to the need for a diagnostic and rehabilitative update. Following the topological and hodological lesional pattern, PN might emerge from the combination of a body representation disorder and a spatial inattention for half of the space.
机译：个人疏忽（PN）是对正确的身体空间的HEMI - 注意到脑病变，通常是右半球。目的：提供对不同机构代表性障碍和恢复相关问题的可用诊断措施的不同理论账户的历史，全面审查。此外，审查Pn的解剖功能相关性，重点是使用现代体素的病变 - 症状测绘的群体研究。方法：搜查了PUBMED数据库的所有可用研究在过去30年中进行的所有可用研究。在一张表中报告了每项研究的相关临床数据，作为开发关于兴趣点讨论的参考。结果：PN的评估工具遭受局限性，并应包括面部和身体相关的测试，并要求在同一个人空间中使用基本探索和对象。缺乏和倡导专用的康复程序，因为可以解离Pn和外部忽视的恢复，并且它们的程度不相关。除非特别调查，否则PN几乎不断与不透露自己的身体代表性障碍的群体相关联。 PN与前凸榫皮质水平和底层前纤维束的改变有显着相关。结论：讨论的数据指向诊断和康复更新的需求。在拓扑和霍乱病的损伤模式之后，PN可能从身体表示障碍的组合和空间中的一半空间中出现。

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