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ALS患者的认知和行为症状:为什么存在以及如何评估?

Cognitive and behavioural symptoms in ALS: why are they there and how to assess them?
课程网址: http://videolectures.net/encals2017_bak_behavioural_symptoms/  
主讲教师: Thomas H. Bak
开课单位: 爱丁堡大学
开课时间: 2017-07-21
课程语种: 英语
中文简介:
一个多世纪以来,我们对肌萎缩侧索硬化症的理解一直以单纯运动性退行性变的概念与日益认识到可能导致痴呆的认知症状的频率和重要性之间的紧张关系为特征。ALS患者认知和行为症状的报告越来越频繁,这似乎与“运动神经元疾病”的概念相矛盾。在我的演讲中,我将指出ALS患者的认知和行为症状是疾病运动特征的必然和逻辑结果,只要我们将运动症状的概念扩展到包括我将称之为“运动认知”的内容:与计划密切相关的认知方面,控制和理解运动。除了提供疾病的综合概念外,这种方法还强调了认知评估作为ALS常规检查一部分的重要性。在实践中,简短但重点突出的评估工具,如爱丁堡认知ALS筛查(ECAS),允许对ALS患者的认知功能进行有意义且准确的床边评估
课程简介: For more than a century, our understanding of ALS has been characterised by a tension between the concept of a purely motor degeneration and a growing realisation of the frequency and importance of cognitive symptoms that can culminate in dementia. The increasingly frequent reports of cognitive and behavioural symptoms in ALS patients seemed to contradict the very idea of a “motor neurone disease”. In my talk I will argue that cognitive and behavioural symptoms in ALS are a necessary and logical consequence of the motor character of the disease, as long as we extend our concept of the motor symptoms to encompass what I will call “motor cognition”: the aspects of cognition most closely related to planning, control and understanding of movement. Apart from offering an integrated concept of the disease such an approach underlines the importance of cognitive assessment as part of the routine examination in ALS. In practical terms, brief but focused assessment tools, such as the Edinburgh Cognitive ALS Screen (ECAS) allow a meaningful and accurate bedside assessment of cognitive functions in ALS patients
关 键 词: 肌萎缩侧索硬化症; 运动性退行性变; 认知功能
课程来源: 视频讲座网
数据采集: 2021-12-25:zkj
最后编审: 2021-12-25:zkj
阅读次数: 67