摘要目的 研究人脑内是否存在类别特异性命名区.方法 13例功能区病变患者,术中唤醒状态下,皮层直接电刺激(DES)确定是否存在类别特异性命名区.结果 DES发现命名障碍区28个,错语4个:1个为名人面孔特异性错语,其余为三种类型命名均错语.命名不能24个:(1)名人面孔特异性脑区6个;(2)名人面孔和动物命名共同脑区4个;(3)动物和工具命名共同脑区10个;(4)三种类型命名共同脑区4个;(5)没有单独工具、单独动物或名人面孔和工具共同命名的脑区.结论 人脑内存在名人面孔特异性命名区,提示术中需增加名人面孔命名任务,以减少阴性刺激的发生率.

abstractsObjective To study the category specific cortices for naming famous faces,animals and tools in patients with lesions near eloquent areas.Methods Using awake procedures,the category specific naming cortices were detected by intraoperative direct electrical stimulation using a category specific naming task in 13 patients with brain lesions in cerebral hemisphere.Results 28 dysphasia cortical sites were found.Among four sites displayed paraphasia,one was face-specific,the other three sites were common for three categories.Among 24 sites displayed anoima,6 sites were face-specific,4 sites were common for both faces and animals,and 10 sites for both animals and tools.There was no site specific for naming animals only,naming tools only or common site for naming both famous faces and tools.Conclusion There are some cortices specific for naming of famous faces.This finding suggests pictures of famous faces should be adopted during intra-operative language mapping to get a broader map of language function,in order to minimize the incidence of "false-negative" stimulations and permanent post-operative deficits.