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Broad-perspective perceptual disorder of the right hemisphere.
Neuropsychology Review ( IF 5.8 ) Pub Date : 2005-06-03 , DOI: 10.1007/s11065-005-3585-5
Larry E Schutz 1
Affiliation  

Traditional accounts of right-posterior brain injury describe a syndrome of low-level perceptual sequelae producing marked acute dependency and transient safety concerns. The syndrome is also held to spare cognition and to carry a generally favorable long-term prognosis. The present paper reviews publications and anecdotal data that challenge this picture. Recent theoretical expositions and empirical studies stipulate three major cognitive functions of the right posterior association cortex: processing novel input, guiding reactions to emergencies, and anticipating consequences. Appearing benign after acute recovery, the impairment of these processes produces vocational, social and marital dysfunctions that increase as a function of chronicity, ultimately becoming more broadly disabling than focal injuries in other cortical loci. The unique symptom picture and serious implications suggest that the long-term syndrome should be labeled (Broad-Perspective Perceptual Disorder) and incorporated in future clinical taxonomies, underscoring the need for extraordinary long-term assistance and specialized therapeutics. Procedures for assessment and differential diagnosis are outlined.

中文翻译:

右半球的广泛性知觉障碍。

右后脑损伤的传统说法描述了一种低水平的知觉后遗症,产生明显的急性依赖和短暂的安全隐患。该综合征还被保留以备不时之需,并普遍具有良好的长期预后。本文回顾了挑战这一观点的出版物和轶事数据。最近的理论论述和经验研究规定了右后联合皮质的三个主要认知功能:处理新颖的输入,指导对紧急情况的反应以及预期的后果。在急性恢复后表现为良性,这些过程的损伤会导致职业,社会和婚姻功能障碍,并随着慢性病而增加,最终比其他皮质基因座的局灶性损伤更为广泛。独特的症状图片和严重的含义表明,应该对长期综合症进行标记(广泛性知觉障碍),并将其纳入未来的临床分类法中,从而强调需要非凡的长期协助和专门的治疗方法。概述了评估和鉴别诊断的程序。
更新日期:2019-11-01
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