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Right-left Disorientation, Cerebral Damage and Education

左右失辦,腦傷與教育程度

摘要


左右失辦現象,在神經科病人中並不罕見,一般認為與優勢半腦功能較關連,但確實的機轉至今仍無定論。本研究目的,仍在於是討左右失辦現象受教育影響的程度,以及在大腦病變定位上之價值。我們利用一個包含四個分項左右辦認測驗,對46位右利且具單一腦傷之病患,以及52位正常人進行評估。結果顯示左側(優勢)半腦腦傷之病人。只有65%的正常組得到滿分。此外,男性與受教育年數也有與左右辦認有相當程度之影響。(慈濟醫學1996; 8:279-284)

並列摘要


Right-left disorientation (RLD) is not infrequently observed in neurologic patients, but its significance and lateralizing value are still uncertain. A test battery composed of four components for right-left discrimination was used to detect RLD among 46 dextral Taiwanese patients with a unilateral cerebral lesion and 52 normal subjects. The performance of the patients with left hemispheric lesions was inferior to that of controls in every component of the task. Those with right hemispheric lesions showed no difference as compared with controls. Only 56% of the normal subjects had errorless performance. Moreover, subjects with more education years had better performance. We conclude that RLD is related to a dominant hemispheric lesion and education. (Tzu Chi Med J 1996; 8: 279-284)

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