[Clinical features of acute right hemisphere lesions during the acute period of myocardial infarction].
The patients with the acute stage of myocardial infarction and focal affections of the left and the right hemispheres of the brain were observed. The patients with the acute myocardial infarction and focal affections of the right hemisphere, especially, with the infarction-apoplexy syndrome, developed pananosognosia, i. e. incomprehension and negation of not only hemiplegia, but also the cardiac disease. The so frequent development of the pananosognosia in the infarction-apoplexy syndromes, i. e. in cases when the coronarocerebral catastrophe progresses swiftly and violently, is probably due, apart from the local factors (the focal affection of the right hemisphere), to the general cerebral factors, such as, brain hypoxia, the degree of which predetermines to a great measure the function of the brain, and aggravates, in its turn, the disturbance of the conjugated activity of the brain hemispheres. In cases of combined affections of the heart and the left hemisphere the patients show adequate personal responses to the morbid state, and the latter becomes for a certain period of time an integral part of the patient's "ego".
D000208:Acute Disease; D000368:Aged; D002421:Caudate Nucleus / Q000503:physiopathology; D002561:Cerebrovascular Disorders / Q000150:complications / Q000175:diagnosis*; D003674:Defense Mechanisms; D005260:Female; D006429:Hemiplegia / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis*; D010296:Parietal Lobe / Q000503:physiopathology; D010468:Perceptual Disorders / Q000175:diagnosis*; D013577:Syndrome; D013788:Thalamus / Q000503:physiopathology
Osobennosti kliniki ochagovogo porazheniia pravogo polushariia golovnogo mozga u bol'nykh v ostrom periode infarkta miokarda.