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1 Jpn J Rehabil Med 2012 ; :

2 MRICT 1 I

3 brain_fukyuindex.html go.jphoureidoctsuchit110524q0035.pdf 10 ICD-10 F04 F 06 F 07 F 40 F 43 1NPO :.,, : : , : Available from URL : http : www. rehab. go. jpribrain_fukyukunrenprogram.html 205

4 divided attention DA 2 DA DA DA 2 divided attention DA DA DA DA 2 DA DA CATClinical Assessment for Attention 2006 CAT Symbol Digit Modalities TestSDMTMemory Updating TestPaced Auditory Serial Addition Task PASATPosition Stroop Test DA 1 APTAttention Process Training 3 2 APT Card SortUmiltà 4 Card Sort 1 S 6six7seven CAT PASAT Umiltà

5 divided attention DA DA Brouwer 5 90 DA DA Stablum 6 Umiltà ms ms DA Hartman 7 DA CRT time on target TOT TOT 2 TOT DA TOT Brouwer 5 207

6 Trail Making Test DA DA SASsupervisory attentional system 8 9 Meland 9 208

7 divided attention 2 Hartman 7 TOT 5 DA Asloun 8 DA 1 :..,, 2006 ; pp :. Jpn J Rehabil Med 2010 ; : Sohlberg MM, Mateer CA : Attention Process Training. Association for Neuropsychological Research and Development, Washington, Umiltà C, Nicoletti R, Simion F, Tagliabue ME : The cost of a strategy. Eur J Cog Psychol 1992 ; : Brouwer WH, Ponds R, Van Wolffelaar PC, Van Zomeren AH : Divided attention 5 to 10 years after severe closed head injury. Cortex 1989 ; : Stablum F, Leonardi G, Mazzoldi M, Umiltà C, Mrra S : Attention and control deficit following closed head injury. Cortex 1994 ; : Hartman A, Pickering RM, Wilson : Is there a central executive deficit after severe head injury? Clin Rehabil 1992 ; : Asloun S, Soury S, Couillet J, Giroire J, Joseph P, Mazaux J, Azouvi P : Interactions between divided attention and working-memory load in patients with severe traumatic brain injury. J Clin Exp Neuropsychol 2008 ; : Meland S, Rahamani, Greenstein, Groswasser Z, Najenson T : Divided attention in brain-injured patients. Scand J Rehab Med Suppl 1985 ; DA DA DA 209

8 1 Wisconsin Card Sorting TestStroop BADS 2 1 Wisconsin Card Sorting Test SPECT WMS- R executive function WAIS -R IQ IQ110 WMS-R BADS

9 1 Wisconsin Card Sorting Test Wisconsin Card Sorting TestWCST 4 1 Fax WCST BADS 6 1 WMS-R WMS-R 57 WMS-R WMS-R A 130 B WAIS-R IQ IQ104 WMS-R BADS

10 2 WAIS-R 9 WMS-R MRI

11 BADS Green WMS-R WAIS- WAIS-RWMS- R C Green 8 WAIS - AVLT Rey Visual Design Learning Test WMS - Stroop test Symbol Digit Modalities Test-Oral Hayling Sentence Completion Test Trail Making TestBA 213

12 Demery JA, Larson MJ, Dixit NK, Bauer RM, Perlstein WM : Operating characteristics of executive functioning tests following traumatic brain injury. Clin Neuropsychol 2010 ; : : 2.,, Milner B : Effects of different brain lesions on card sorting. Arch Neurol 1963 ; : : ; : Wechsler D : WMS-R.,, ,,,, : BADS.,, Robertson IH : Traumatic brain injury : recovery, prediction, and the clinician. Arch Phys Med Rehabil 2008 ; 12 Suppl: S1.2 8Green RE, Colella B, Hebert DA, Bayley M, Kang HS, Till C, Monette G : Prediction of return to productivity after severe traumatic brain injury : investigations of optimal neuropsychological tests and timing of assessment. Arch Phys Med Rehabil 2008 ; : S Rassovsky Y, Satz P, Alfano MS, Light RK, Zaucha K, McArthur DL, Hovda D : Functional outcome in TBI II : verbal memory and information processing speed mediators. J Clin Exp Neuropsychol 2006 ; :

13 web web web web 1 215

14 MRICT MRI CT Web web web Realtime Evaluation Assistance SystemREAS web web 216

15 Web Web

16 web web Web Web web Web Centers for Disease Control and PreventionCDCP TBI Andelic Glasgow Coma Scale GCS

17 CDCP 6 Andelic Andelic web ,,, : ; : , :.,, 2006 ; pp :.,, : ,, Faul M, Xu L, Wald MM, Coronado VG : Traumatic brain injury in the United States : emergency department visits, hospitalizations, and deaths Centers for Disease Control and Prevention, U. S. Department of Health and Human Services. Available from http : www. cdc. govtraumaticbraininjurypdfblue_book. pdf Centers for Disease Control and Prevention : Incidence rates of hospitalization related to traumatic brain injury 12 states, Morb Mortal Wkly Rep 2006 ; : Andelic N, Sigurdardottir S, Brunborg C, et al : Incidence of hospital-treated traumatic brain injury in the Oslo population. Neuroepidemiology 2008 ; : ,,, : 1998 ; :

18 immediate recall working memory 4 prospective memory 56 Papez Yakovlev 7 8 polar artery 220

19 2 9 paramedian thalamic artery Broca Papez Yakovlev 221

20 Meynert 1314 Heubner 15 Damasio Auditory Verbal Learning Test AVLT 1718 BVRT 19 Rey-Osterrieth ROCFT 2021 AVLT BVRT 10 ROCFT 34 3 WMS-R WAIS Rivermead Behavioural Memory Test Squire LR, Zola-Morgan S : The medial temporal lobe memory system. Science 1991 ; : :. Ver. 2,,,,.,, 2004 ; pp Tulving E : Organization of memory : Quo vadis?. in The Cognitive Neurosciences ed by Gazzaniga MS. MIT Press, Cambridge, MA, 1995 ; pp Baddeley AD : The episodic buffer : a new component of working memory? Trends Cogn Sci 2000 ; : Munsat S : The Concept of Memory. Random House, New York, , : ; : Livingston KE, Escobar A : Anatomical bias of the limbic 222

21 system concept ; a proposed reorientation. Arch Neurol 1971 ; : : ; : Maeshima S, Ozaki F, Masuo O, Yamaga H, Okita R, Moriwaki H : Memory impairment and spatial disorientation following a left retrosplenial lesion. J Clin Neurosci 2001 ; : ,, : ; : Masuo O, Maeshima S, Kubo K, Terada T, Nakai K, Itakura T, Komai N : A case of amnestic syndrome caused by a subcortical haematoma in the right occipital lobe. Brain Inj 1999 ; : Maeshima S, Ueyoshi A, Tsuura M, Takemoto H, Itakura T : Transient aphasia and persistent amnesia after surgery for internal carotid artery. posterior communicating artery aneurysm. J Clin Neurosci 2002 ; : Damasio AR, Graff-Radford NR, Eslinger PJ, Damasion H, Kassell N : Amnesia following basal forebrain lesions. Arch Neurol 1985 ; : : ; : Irle E, Wowra B, Kunert HJ, Hampl J, Kunze S : Memory disturbances following anterior communicating artery rupture. Ann Neurol 1992 ; : Fujii T, Okuda J, Tsukiura T, Ohtake H, Miura R, Fukatsu R, Suzuki K, Kawashima R, Itoh M, Fukuda H, Yamadori A : The role of basal forebrain in episodic memory retrieval : a positron emission tomography study. Neuroimage 2002 ; : Rey A : Lexamen clinique en Psychogie. Presses Universitaires de France, Paris, ,,,, : ; : L : 2.,, Rey A : Lexamen psychologique : Dans les cas dencephalopathie traumatique Les problemes. Arch Psychol 1941 ; : ,,,,, : Rey-Osterrieth ; : :.,, ,,, : RBMT.,, ,,,,, : RBMT 2002 ; : ,,,, : 2006 ; :

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