脑损伤

I. Whishaw, Megan Sholomiski
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摘要

脑损伤是指大脑某一部分的损伤、损伤或异常变化。脑损伤可能由头部损伤、疾病、手术或先天性疾病引起,并根据损伤的原因、程度和部位进行分类。病变会引起许多行为症状。症状的严重程度一般与脑损伤的区域和程度相对应。因此,行为通常是病变类型和程度的可靠指标。对脑损伤患者的观察在18世纪首次被详细记录下来,损伤研究继续塑造着现代神经科学,并深入了解大脑区域的功能。康复,定义为丧失的行为或认知功能的任何恢复,取决于患者的年龄、性别、遗传和生活方式,并且可以通过损伤的原因来预测康复。大多数恢复发生在受伤后的前6至9个月内,可能涉及代偿行为和大脑生理变化的结合。虽然儿童和成人都有残余缺陷,但儿童在脑损伤后往往比成人能更好地恢复某些功能。更好的诊断工具和治疗方法提高了脑损伤的存活率。脑损伤的治疗干预和治疗包括手术、药物、移植和体温调节,每一种都有不同程度的成功。治疗脑部病变的研究正在取得进展,但原则上,只有当脑部病变被健康组织取代时,才能彻底治愈。
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Brain Lesions
A brain lesion is an area of damage, injury, or abnormal change to a part of the brain. Brain lesions may be caused by head injury, disease, surgery, or congenital disorders, and they are classified by the cause, extent, and locus of injury. Lesions cause many behavioral symptoms. Symptom severity generally corresponds to the region and extent of damaged brain. Thus, behavior is often a reliable indicator of the type and extent of a lesion. Observations of patients suffering brain lesions were first recorded in detail in the 18th century, and lesion studies continue to shape modern neuroscience and to give insight into the functions of brain regions. Recovery, defined as any return of lost behavioral or cognitive function, depends on the age, sex, genetics, and lifestyle of patients, and recovery may be predicted by the cause of injury. Most recovery occurs within the first 6 to 9 months after injury and likely involves a combination of compensatory behaviors and physiological changes in the brain. Children often recover some function after brain lesions better than adults, though both children and adults experience residual deficits. Brain lesion survival rates are improved by better diagnostic tools and treatments. Therapeutic interventions and treatments for brain lesions include surgery, pharmaceuticals, transplants, and temperature regulation, each with varying degrees of success. Research in treating brain lesions is progressing, but in principle a cure will only be complete when brain lesions are replaced with healthy tissue.
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