瀛涓瀹粹浼璁╀汉诲锛

澶ц涓甯哥濂ㄥ锛界跺1.3~1.4わ磋藉璁╂浠ユ浠ュ涓蹇烘椿ㄣｄヤ锛濡涓涓汉瀛涓甯镐汉ｆ峰达TA藉甯镐汉涓疯濡瀛㈠ぇㄥ姘粹锛浜虹浼诲锛

瓒澶ц姝ｅ父浜

浜鸿韩甯告杞ㄥ锛瑕ㄥ纭澹充や涓锛介垮颁激瀹炽ㄨ澹抽绁缁烘娉″ㄤ绉规缁缁娑蹭涓锛娑层ㄦ甯哥典锛绉恫繁浠ｈ阿锛涓昏甯ㄨ瀹や涓浠惧浠ョ猴稿浜ぇ灏骞茬绁缁郴缁ヨ锛瀹や绉稿姣杈灏

浣濡娑插娉杩澶锛锛寰告堕纰撮娑查锛瀵艰磋瀹ょ郴缁╁ぇ锛锛缃涓╁ぇ锛灏卞藉虹绉按璞°变澹冲绌洪存锛绉按澶чН绱灏卞虹涓涓锛绁缁绌洪磋涓ラ缂╋澶ц戒杩㈢凤涓轰涓灞杩绉瀛杩姘粹碉褰卞ｈ娲伙

1980骞达缃奥峰㈠锛RogerLewin 锛ㄣ绉瀛蹇涓璁ㄨ浜绉按瀵瑰ぇ藉奖[1]ㄨ绡缁哥璁烘涓浠拌卞界缁绉荤绾堪路娲浼JohnLorber锛瑙瀵扮涓涓渚锛浠涓灏浠绉颁负渚锛界朵靛芥病浠涔寮甯革瀵硅浣浜虹澶ц杩琛CT浠澹抽澶чㄥ姘粹锛涓ぇ涓炬浣ｈ澶ц撅锛涓甯稿ぇ锛宸瀵规撅杈瑰句腑榛查ㄥ娑层杩浣瀛澶чㄥ姘粹骞磋交浜猴澶ц绾4.5绫冲

浣蜂涓濂骞磋交浜猴ㄦュ父娲讳腑琛ㄧ濡浣娲绘娉

涓浠稿锛浠瀹ㄦ甯革规浼堪锛浠IQ126锛捐寰浜板涓涓涓绛ｈ瀛锛绀句氦涔瀹ㄦ甯搞

讹2007骞达娉界荤ㄨ诲蹇冲涓涔ラ涓渚绉按ｈ[2]杩浣44宀澶уㄦ句剧ず锛浠澶ц甯歌涓惧氨澶ц缁撅榛查ㄥ浠舵娑层浠涓惧浠ョ帮浠瀛涔澶чㄥ按锛涓浼瑙瀵扮澶у浼间靛樊涓澶

涓ｄ4.5绫冲骞磋交浜虹镐技杩浣涓勾澶у涔涓姝ｅ父锛缁濠骞舵涓や釜瀛╁哄琛ㄧ涓75锛ㄦ芥垮姝ｅ父涓

杩涓や釜绉按渚浼间〃娌℃瀹寸澶ц锛涓峰浠ュ濂界娲汇惰锛杩涓や釜渚芥骞存舵瑙瀵扮浠浠浣ㄨ涓峰锛浠寰ャ涔璁镐跨冲辜跨澶ц蹭锛浠浠ユ村娓板扮版病瀹寸澶ц锛灏瀛浠ユ甯搁垮ぇ

绉按灏コ瀛

2007骞达寰峰芥濉灏澶澶ぇ瀛缁绉绯绘绗规灏锛Felix Distelmaier锛涓浜ュ浜涓涓コ瀛╁虹跺氨绉按渚[3]杩涓コ瀛╁虹跺ごㄧ稿舰锛琛ㄧ涓哄法澶寸锛朵即韬共涓㈣绱у绛寮甯哥躲纾辨琛ㄦ濂规涓ラDandy-Walker寮甯革琛ㄧ涓虹瀹わ瑙涓撅╁ぇ锛讹杩浣灏コ瀛╄绉按涓ラ渚ц瑁稿舰艰浣蹭ㄣ

ㄥス虹浜澶╂讹瀵瑰跺ぇ纾辨涓撅

浠涓炬ョ锛灏コ瀛╃澶ц棰澶чㄥ骞堕缁缁锛娑层荤浠惰琛浜绉骞查锛ㄥス虹绗澶╄琛浜瀹よ硅娴 锛骞朵磋瀹-硅娴浠ラ垮藉け璋姝ゅ锛杩涓コ瀛╄ヤ涓涓╂骞查椤圭╃娌荤瑷璇不

扮20涓讹濂圭澶ц宸茬浜涓浜锛澶ц姣渚澧锛瑙涓撅

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澶ц浼ょ堕村瑰藉瑕

杩涓渚浼间甯歌浜轰瑙锛澶ц濉ч甯稿己锛涔璁告浼や浜娌￠锛充娇澹抽澶чㄥ姘粹涔涓褰卞娲汇浣涓瑕蹇璁帮杩澶ч朵绫诲浼や涓ラ褰卞颁汉浠ュ斤姣濡涓涓ラ浜瀵艰寸澶ц杩涓寰涓浠ゆ浠锛风浼や褰卞浠蹇哄斤

2007骞达娉借褰煎╁澶у荤涓荤楹路寰锋硷MichelDesmurget锛ㄨ锛Brain锛涓璁ㄨ浜杩涓[4]ㄨ涓绔涓寰锋兼猴澶ц浼ょ瑰堕撮甯搁瑕锛濡浼ゆ俯缂㈠板锛ｄ澶ц借藉㈡㈠板浼らㄤ借浆绉诲版浼ょ猴浠涓褰卞姝ｅ父娲伙濡澶цㄥ浼ゆ甯稿揩锛璇ュぇ缁藉戒涓уけ

寰锋兼寮ㄤ涓ゆ归㈢璇浜鸿浼ょ渚ㄧ╁楠

浜鸿浼よ归浠浠杈浜涓ょ渚锛浣骇惰川ゅ涓浣骇惰川ゆ绉ㄤ腑㈢缁郴缁涓㈢娲荤跨わ涓寰堕村ユх躲

浣骇惰川ょ块甯告ㄥ翠弗璁ょュ介涔锛澶х害7~8骞寸挎ㄨ娈垫堕村锛ｈ甯告病浠讳璁ょユ琛涓虹寮甯搞浣跨ㄦ规ゆ跺哄锛涔浼涓寮璧锋案涔х澶ц芥浼ゃ103涓骇惰川ゆｈ涓93%浠ュ1骞翠㈠姝ｅ父缁х画宸ヤ[5]姣濡涓惧氨涓涓骇惰川ゆｈ澶ц撅涓ㄥ涓烘锛涓ㄥ涓烘杩浜哄ㄦ界舵涓琚わ浣1涓㈠浜姝ｅ父

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浠痉肩璁烘ョ锛绉按涔灞浜澶ц娓╂缂㈠版ゅ浼わ浠ヨ浜ｈ浠ヨ〃甯告甯搞

涔璁革瑕姝ｅ父扮娲伙娌℃涓涓寸澶ц涔浠ョ浣璁颁澶цㄤ涔跺濡浣寰涓瀹寸锛杩涓甯搁瑕锛涓烘浜典锛芥ぇㄥ碉锛涓瀹寸澶ц浼浼撮蹇哄戒

[1] Lewin, R. Is your brain reallynecessary? Science 1980; 210(4475): 1232-1234.

[2] Feuillet, L,Dufour, H, Pelletier, J. Brain of a white-collar worker. The Lancet 2007;370(9583): 262.

[3] Distelmaier,F, Richter-Werkle, R, Schaper, J et al.How much brain is really necessary? a case of complex cerebral malformationand its clinical course. Journal of Child Neurology 2007; 22(6): 756-760.

[4] Desmurget,M, Bonnetblanc, F, Duffau, H. Contrasting acute and slow-growing lesions: A newdoor to brain plasticity. Brain 2007; 130(4): 898-914.

[5] Duffau, H,Capelle, L, Denvil, D et al.Usefulness of intraoperative electrical subcortical mapping during surgery forlow-grade gliomas located within eloquent brain regions: Functional results ina consecutive series of 103 patients. Journal of Neurosurgery 2003; 98(4):764-778.