メディカルスタッフ・レクチャー
やさしい高次脳機能の診かた
キーワード:
higher brain dysfunction,
neuropsychology,
cognitive funciton,
Mini–Mental State Examination（MMSE）,
Hasegawa dementia scale-revised（HDS–R）
2022 年 39 巻 3 号 p. 241-245
詳細
2022 年 39 巻 3 号 p. 241-245
Neuropsychological assessment methods for the general clinician are described. The following five points are important : (1) the term ‘higher brain dysfunction’ is used in two ways, (2) it is possible to recognize neuropsychological symptoms during the medical examination, (3) what is described as ‘forgetting’ could be a disorder other than memory, (4) note the location of the lesion (left vs. right, anterior vs. posterior, cortex vs. white matter, corpus callosum) on MRI images, (5) check the general cognitive function using the HDS–R and MMSE first, paying attention not only to the total score but also to the incorrectly answered items and error patterns, then add other tests (e.g. tests for apraxia, agnosia, and disconnection syndrome) if necessary.
