摘要
目的:研究颞叶和额叶癫痫患者的认知功能特点。方法:对20例颞叶癫痫、16例额叶癫痫患者及15例健康对照组进行注意力、执行功能和记忆力等方面的神经心理评估。所用的认知评定工具包括工作记忆测试、听觉词语学习测验、Rey-Osterrieth复杂图片测验等。结果:颞叶和额叶癫痫组在注意力、执行功能和记忆力等方面测试成绩均落后于对照组,且差异有统计学意义(P<0.05);额叶癫痫组注意力、工作记忆、抑制控制能力、语词记忆、图形记忆减退较颞叶癫痫组明显,颞叶癫痫组语词记忆遗忘程度较额叶癫痫组大,且差异有统计学意义(P<0.05)。结论:颞叶和额叶癫痫患者均存在广泛的认知功能损害,额叶癫痫患者多项认知功能损害较颞叶癫痫明显,颞叶癫痫患者比额叶癫痫更易出现语词材料的遗忘。
Objective: To investigate the features of cognitive function in temporal lobe epilepsy (TLE) and frontal lobe epilepsy(FI,E). Methods: 20 subjeets with TLE, 16 with FLE, and 15 control subjects underwent neuropsypsychological assessment of attension, executive functions, and memory components. A series of neutopsychologic tests comprised Working memory test, Auditory verhal memory test (AVMT), Rey-Osterrieth eomplax figure test (CFT-R-O), etc. Results: Attention, executive functions,memory were impaired in both TI,E and FLE (P 〈0.05). Attention,working memory,control / inhibition,verbal and nonverbal memory deficit were greater in FLE than in TLE(P 〈0.05). Verbal memory was impaired much in TLE than in FLE. Conclusion: Cognitions in both TLE and FI,E have widely deficts, especially in FLE. Verbal memory is forgotten easily in TLE than in FLE.
出处
《天津医科大学学报》
2013年第1期70-72,共3页
Journal of Tianjin Medical University
关键词
癫痫
颞叶
额叶
认知功能
神经心理学
epilepsy
temporal lobe
frontal lobe
cognitive function
neuropsychology