PECULIARITIES OF HEMISCARAL LATERALIZATION OF CONCEPTUAL AND IMAGED THINKING IN PATIENTS WITH RIGHT AND LEFT-SIDE LOCALIZATION OF THE FOCUS OF ISCHEMIC STROKE
Abstract
The peculiarities of hemispheric lateralization of conceptional and visual mental abilities (thinking) in patients with right and left hemispheric ischemic stroke. This article presents the materials of an experimental neuropsychological study of an acute cerebrovascular accident consequences for verbal and non-verbal functions from the point of view of their performance by left and right hemispheres during an early rehabilitation period. To assess the peculiarities of patients’ mental abilities we have chosen 14 techniques which could identify the specification of right- and left hemispheric functioning with different degree of distinction. As a result of the examination and statistical analyses of the empirical data it has been revealed that patients with both right- and left hemispheric stroke with no significant difference have the most distinct cognitive impairments connected with psychic functions lead by the verbal factor and spatial cognition (thinking), moreover non-verbal cognitive impairments were more noticeable in patients with left hemispheric stroke, verbal- in patients with right hemispheric stroke.
References
2. Vilenskij B.S. Neotlozhnye sostoyaniya v nevrologii. SPb: Foliant; 2006. [Vilenskij B.S. Neotlozhnye sostoyaniya v nevrologii. SPb: Foliant; 2006. (In Russ).]
3. Kulebras A. Insult - ostroe zabolevanie, kotoroe mozhno predotvratit // Zhurnal nevrologii i psihiatrii im. S.S. Korsakova. 2007. Spec. vyp. S. 74-76. [Kulebras A. Insul't - ostroe zabolevanie, kotoroe mozhno predotvratit' // ZHurnal nevrologii i psihiatrii im. S.S. Korsakova. 2007. Spec. vyp. :74-76. (In Russ).]
4. Zhusupova A.S. Insult - globalnaya problema otechestvennoj nevrologii // Chelovek i Lekarstvo. 2011. T. 3. №3. S. 6-9. [ZHusupova A.S. Insul't - global'naya problema otechestvennoj nevrologii // CHelovek i Lekarstvo. 2011;3(3):6-9. (In Russ).]
5. Ermakova N.G. Psihologicheskaya korrekciya v reabilitacii bolnyh s vyrazhennymi dvigatelnymi i kognitivnymi narusheniyami posle insulta // Izvestiya Rossijskogo gosudarstvennogo pedagogicheskogo universiteta im. A.I. Gercena. 2010. №128. S. 83-92. [Ermakova N.G. Psihologicheskaya korrekciya v reabilitacii bol'nyh s vyrazhennymi dvigatel'nymi i kognitivnymi narusheniyami posle insul'ta // Izvestiya Rossijskogo gosudarstvennogo pedagogicheskogo universiteta im. A.I. Gercena. 2010; (128):83-92. (In Russ).] 6. Frisoni G.B., Galluzzi S., Bresciani L. et al. Mild cognitive impairment with subcortical vascular features. Journal of Neurology. 2002;249(10):14231432. https://doi.org/10.1007/s00415-002-0861-7.
7. Gorelick P.B., Nyenhuis D. Stroke and cognitive decline. JAMA. 2015;314(1):29. https://doi.org/10.001/jama.2015.7149.
8. Mijajlovic M.D., Pavlovic A., Brainin M., et al. Post-stroke dementia – a comprehensive review. BMC Medicine. 2017;15(11). URL: https://bmcmedicine.biomedcentral.com/articles/ https://doi.org/10.1186/s12916-017-0779-7.
9. Mok V.C., Lam B.Y., Wong A., et al. Earlyonset and delayed-onset poststroke dementia — revisiting the mechanisms. Nature Reviews Neurology. 2017;13(3):148-159. https://doi.org/10.1038/nrneurol.2017.16.
10. Lofgren B., Nyberg L., Osterlind P.O., et al. In-patient rehabilitation after stroke: outcome and factors associated with improvement. Disability and Rehabilitation. 1998;20(2): 55–61. https://doi.org/10.3109/09638289809166054.
11. Ozdemir F., Birtane M., Tabatabaei R., et al. Cognitive evaluation and functional outcome after stroke. American Journal of Physical Medicine and Rehabilitation. 2001;80(6):410–415. DOI: 10.1097/00002060-200106000-00003.
12. Larson E.B., Kirschner K., Bode R., et al. Construct and predictive validity of the repeatable battery for the assessment of neuropsychological status in the evaluation of stroke patients. Journal of Clinical and Experimental Neuropsychology. 2005;27(1):16– 32. https://doi.org/10.1080/138033990513564.
13. Fields J.A., Machulda M., Aakre J., et al. Utility of the DRS for predicting problems in day-today functioning. Clinical Neuropsychologist. 2010;24(7):1167–1180. https://doi.org/10.1080/13854046.2010.514865.
14. Leung A.W.S., Cheng S.K.W., Mak A.K.Y., et al. Functional gain in hemorrhagic stroke patients is predicted by functional level and cognitive abilities measured at hospital admission. NeuroRehabilitation. 2010;27(4):351–358. https://doi.org/10.3233/NRE-2010-0619.
15. Gialanella B., Ferlucci C. Functional outcome after stroke in patients with aphasia and neglect: assessment by the motor and cognitive functional independence measure instrument. Cerebrovascular
Diseases. 2010;30(5):440–447. https://doi.org/10.1159/000317080. 16. Toglia J., Fitzgerald K.A., O’Dell M.W., et al. The mini-mental state examination and montreal cognitive assessment in persons with mild subacute stroke: relationship to functional outcome. Archives of Physical Medicine and Rehabilitation. 2011;92(5):792–798. https://doi.org/10.1016/j.apmr.2010.12.034
17. Zaharov V.V., Vahnina N.V. Insult i kognitivnye narusheniya // Nevrologiya, nejropsihiatriya, psihosomatika. 2011. T.3. №2. S.8-16. [Zaharov V.V., Vahnina N.V. Insul't i kognitivnye narusheniya // Nevrologiya, nejropsihiatriya, psihosomatika. 2011;3(2):8-16. (In Russ).] DOI: 10.14412/2074-2711-2011-141.
18. Buklina S.B., Narusheniya vysshih psihicheskih funkcij pri porazheniyah glubinnyh i stvolovyh struktur mozga. M.: MEDpressinform; 2016. [Buklina S.B., Narusheniya vysshih psihicheskih funkcij pri porazheniyah glubinnyh i stvolovyh struktur mozga. M.: MEDpress-inform; 2016. (In Russ).]
19. Johnson M., Ojemann G. The role of human thalamus in language and memory, Evidence from electrophysiological studies. Brain and Cognition. 2000;42(2):218–230. DOI: 10.1006/brcg.1999.1101 .
20. Swartz R.H., Black S.E. Anterior-medial thalamic lesions in dementia, frequent, and volume dependently associated with sudden cognitive decline. Journal of Neurology, Neurosurgery, and Psychiatry.
2006;77(12):1307–1312. DOI:
10.1136/jnnp.2006.091561.
21. Kok E.P. Obshee i razlichnoe v funkciyah simmetrichnyh otdelov pravogo i levogo polusharij mozga // Fiziologiya cheloveka. 1975. T.1. №3. S.427-439. [Kok E.P. Obshchee i razlichnoe v funkciyah simmetrichnyh otdelov pravogo i levogo polusharij mozga // Fiziologiya cheloveka. 1975; 1(3):427-439. (In Russ).]
22. Kordyukova M.R. Sopostavlenie parametrov mezhpolusharnoj asimmetrii s individualnymi osobennostyami myshlenii //
Funkcionalnaya asimmetriya i adaptaciya cheloveka. M. 1976. S.44-45. [Kordyukova M.R. Sopostavlenie parametrov mezhpolusharnoj asimmetrii s individual'nymi osobennostyami myshlenii // Funkcional'naya asimmetriya i adaptaciya cheloveka. M. 1976:44-45. (In Russ).]
23. Bragina N.N., Dobrohotova T.A. Funkcionalnye asimmetrii cheloveka. M.: Medicina; 1977. [Bragina N.N., Dobrohotova T.A.
Funkcional'nye asimmetrii cheloveka. M.: Medicina; 1977. (In Russ).]
24. Korsakova N.K., Moskovichyute L.I. Podkorkovye struktury mozga i psihicheskie processy. M.: MGU; 1985. [Korsakova N.K., Moskovichyute L.I. Podkorkovye struktury mozga i psihicheskie processy. M.: MGU; 1985. (In Russ).]
25. Traugott N.N. Mezhpolusharnoe vzaimodejstvie pri lokalnyh porazheniyah golovnogo mozga. Nejropsihologicheskij analiz mezhpolusharnoj asimmetrii. M.: Nauka. 1986. S.14-22. [Traugott N.N. Mezhpolusharnoe vzaimodejstvie pri lokal'nyh porazheniyah golovnogo mozga. Nejropsihologicheskij analiz mezhpolusharnoj asimmetrii. M.: Nauka. 1986:14-22. (In Russ).]
26. Silina E.A., Evtuh T.V. Mezhpolusharnaya asimmetriya i individualnye razlichiya. Perm: Perm. gos. ped. un-t; 2004. [Silina E.A., Evtuh T.V. Mezhpolusharnaya asimmetriya i individual'nye razlichiya. Perm': Perm. gos. ped. un-t; 2004. (In Russ).]
27. Luriya A.R., Simernickaya E.G. O funkcionalnom vzaimodejstvii polusharij golovnogo mozga v organizacii verbalnomnesticheskih funkcij // Fiziologiya cheloveka. 1975. T.3. №1. S. 411-417. [Luriya A.R., Simernickaya E.G. O funkcional'nom vzaimodejstvii polusharij golovnogo mozga v organizacii verbal'nomnesticheskih funkcij // Fiziologiya cheloveka. 1975;3(1):411-417. (In Russ).]
28. Hecaen H., Assal G. A comparison of constructive deficites following right and left hemisphere lesions. Neuropsychologia. 1970;8(3):289303. DOI: 10.1016/0028-3932(70)90075-8.
29. Renzi E.D. Faglioni P., Scotti G. Judgement of spatial orientation in patients with local brain damage. J. of neurology, neurosurgery, and psychiatry. 1971;34(5):489-495. DOI: 10.1136/jnnp.34.5.489 .
30. Goetschmann V.B., Croquelois A. Different Patterns of Lateralization of Cognitive Functions in a Left-Handed Patient with Unilateral Right Middle Cerebral Artery Stroke. Cerebrovascular Diseases. 2010;29(4):403–407. DOI: 10.1159/000288054.
31. Bogolepova A.N. Osobennosti kognitivnyh narushenij u bolnyh ishemicheskim insultom v zavisimosti ot lokalizacii ochaga porazheniya. B/g. S. 1-11. [Bogolepova A.N. Osobennosti kognitivnyh narushenij u bol'nyh ishemicheskim insul'tom v zavisimosti ot lokalizacii ochaga porazheniya. B/g. S. 1-11. (In Russ).] URL:
http://cerebralasymmetry.narod.ru/BogolepovaAN.pdf. 32. Shahparonova N.V, Kashina E.M., Kadykov A.S. Kognitivnye narusheniya u postinsultnyh bolnyh s glubokoj lokalizaciej polusharnogo ochaga // Klinicheskaya nevrologiya. 2010. T.7. №3.
S.4-8. [SHahparonova N.V, Kashina E.M., Kadykov A.S. Kognitivnye narusheniya u postinsul'tnyh bol'nyh s glubokoj lokalizaciej polusharnogo ochaga // Klinicheskaya nevrologiya. 2010;7(3):4-8. (In Russ).]
33. Kovyazina M.S., Varako N.A. K voprosu o prirode «pravopolusharnoj» nejropsihologicheskoj simptomatiki pri insultah v bassejne levoj srednemozgovoj arterii // Consilium Medicum. 2016. T.18. №9. S.12–16. [Kovyazina M.S., Varako N.A. K voprosu o prirode «pravopolusharnoj» nejropsihologicheskoj simptomatiki pri insul'tah v bassejne levoj srednemozgovoj arterii // Consilium Medicum. 2016;18(9):12–16. (In Russ).]
34. Kataeva N.G., Kornetov, N.A., Karavaeva E.V. i dr. Kognitivnye narusheniya posle insult //. Nevrologiya, nejropsihiatriya, psihosomatika. 2010. T.2. №1. S.37-41. [Kataeva N.G., Kornetov, N.A., Karavaeva E.V. i dr. Kognitivnye narusheniya posle insul't //. Nevrologiya, nejropsihiatriya, psihosomatika. 2010;2(1):37-41. (In Russ).] DOI: 10.14412/2074-2711-2010-68.
35. Cherdak M.A., Parfenov V.A. Kognitivnye rasstrojstva u pacientov, perenesshih ishemicheskij insult: obzor // Nevrologicheskij zhurnal. 2011. T.16. №6. S.37-44. [CHerdak M.A., Parfenov V.A. Kognitivnye rasstrojstva u pacientov, perenesshih ishemicheskij insul't: obzor // Nevrologicheskij zhurnal. 2011;16(6):37-44. (In Russ).]
36. Belskaya G.N., Chuprina S.E., Vorobev A.A. i dr. Kognitivnye narusheniya pri insulte: vozmozhnosti medikamentoznoj korrekcii // Zhurnal nevrologii i psihiatrii im. S.S. Korsakova. 2016. T.116. №5. S.33-37. [Bel'skaya G.N., CHuprina S.E., Vorob'ev A.A. i dr. Kognitivnye narusheniya pri insul'te: vozmozhnosti medikamentoznoj korrekcii // ZHurnal nevrologii i psihiatrii im. S.S. Korsakova. 2016;116(5):33-37. (In Russ).] DOI: 10.17116/jnevro20161165133-37. 37. Meerson Ya.A. Funkcionalnaya asimmetriya polusharij mozga i processy pererabotki informacii // Metody nejropsihologicheskoj diagnostiki. SPb.: Strojlespechat; 1997. [Meerson YA.A. Funkcional'naya asimmetriya polusharij mozga i processy pererabotki informacii // Metody nejropsihologicheskoj diagnostiki. SPb.: Strojlespechat'; 1997. (In Russ).]
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