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首页> 外文期刊>Neuropsychologia >Cognitive deficits associated with acquired amusia after stroke: a neuropsychological follow-up study.
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Cognitive deficits associated with acquired amusia after stroke: a neuropsychological follow-up study.

机译:脑卒中后获得性失语相关的认知功能障碍:一项神经心理学后续研究。

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摘要

Recent evidence on amusia suggests that our ability to perceive music might be based on the same neural resources that underlie other higher cognitive functions, such as speech perception and spatial processing. We studied the neural correlates of acquired amusia by performing extensive neuropsychological assessments on 53 stroke patients with a left or right hemisphere middle cerebral artery (MCA) stroke 1 week, 3 months, and 6 months after the stroke. In addition, structural magnetic resonance imaging (MRI) was performed on all patients 1 week and 6 months post-stroke. Based on their performance on a shortened version of the Montreal Battery of Evaluation of Amusia (MBEA), the patients were classified as amusic (n=32) or non-amusic (n=21). MRI results showed that the incidence of auditory cortex and frontal lobe damage was significantly higher in the amusic group than in the non-amusic group, but the two groups did not differ in respect to lesion laterality. Cognitively, amusia was associated with general deficits in working memory and learning, semantic fluency, executive functioning, and visuospatial cognition, as well as hemisphere-specific deficits in verbal comprehension, mental flexibility, and visuospatial attention (unilateral spatial neglect). Moreover, the recovery of music perception ability was related to the recovery of verbal learning, visuospatial perception and attention, and focused attention, especially in amusic patients. Together, these results suggest the ability to perceive music is closely linked to other higher cognitive functions.
机译:关于失语症的最新证据表明,我们感知音乐的能力可能基于与其他高级认知功能(例如语音感知和空间处理)相同的神经资源。我们通过对53名卒中左,右半球大脑中动脉(MCA)卒中1周,3个月和6个月的卒中患者进行广泛的神经心理学评估,研究了获得性失语的神经相关性。此外,在卒中后1周和6个月对所有患者进行了结构磁共振成像(MRI)。根据他们在缩短版的《蒙特利尔音乐评估局》(MBEA)上的表现,将患者分为音乐性(n = 32)或非音乐性(n = 21)。 MRI结果显示,音乐组的听觉皮层和额叶损伤的发生率显着高于非音乐组,但是两组的病变侧向无差异。在认知上,失语症与工作记忆和学习,语义流利度,执行功能和视觉空间认知的一般缺陷,以及半球特定的语言理解,心理灵活性和视觉空间注意力的缺陷(单方面的空间忽视)相关。此外,音乐知觉能力的恢复与言语学习,视觉空间知觉和注意力的恢复以及注意力的集中有关,特别是在音乐患者中。总之,这些结果表明,感知音乐的能力与其他更高的认知功能密切相关。

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