• MEA or .M 03 I 9 6 I M 0 C K B A •

MHHHCTEPCTBO 3nPABOOXPAHEHMB CCCP

Bon PO C bI

HEMPOXVlPYPfVlVl]961 roo U30aJ-lUH 25-{j Bun. 4 UIOAb-GBcycm

pr:nAKUYlOIIHA5-I xortnr.n 151:

I3 f. EfOPOB (pE'JJ.aI<Top),A. 1\. APEHLlT (:l3M. pcnaicropa}, H. I r. BYlIIOrPAnOJ3A,

G. II I\nOCOBCKYlVl, rr. 1\. KOPEI/lIlJA, r. n. KOPII5H-ICKYlvl (ct'«peTaflb)M. io. PAfIOIlOPT, B. J\\. yrPIOi\\OJ3

P E n A K I \ II o II II 1>1n COB E T:

APYTIDHOB A. VI. (Kilen)rjA54YlH VI. c. (Jl enuur pan]rOP5A4EB M. C. (Xapt.xou)rPAillEUKOB H. VI. (Moczna)3nOTHVlK 3. VI. (MI1HCK)VlrHATOB M. r. (Mocxaa)xonunos M. 5. (Mocxna)nEnYKAnH A. cD. (Para)JlECHYlUKA51 B. Jl. (CI!~1(I)eponoJ1b)

HYlKOJlbCKYIv[ B. A. (Pocroa II/J.l,)PA3nOnbCKYlvj Yl. 51. (Jleuuurp an)PAynKEnn cD. n. (T3J1.1[IH)CAMOTOKYIH 5. A. (Jleaunrp an)XAPVlTOHOBA K. K. (HonocII6I1pCK)XOMVlHCKYII/l B. C. (Kuen)IlJAMOB B. H. (Jleiunn-pan)WAPYIMAH51H c. C. (Epenan )W[(DEP n. f. (CBCp)l.J10ncK)

A)l.pec p e n a x u n u:

Mccxna, K-31, TIeTpoBKa, 12Tcnerpon: 5-8-48-73

3an. penaxuuert T. A. COAoaToBa

TeXH. pe)l.aKTOp M, B. nOZOcKulia KoppeKTop K. H. nampeliKOf!

CJ].aHo B Ha60p IIIV 1961 r. TIO)l.nI1C3HOK neuaru 4/VII 1961 r. cD0PM3T 6YM3m 70X108ihs4,0 nelJ. JI. + 0,11 nelJ. JI. BKJ1. (YCJ10BHbIX 5,63 ,n.) 6,10 YlJ.-H3)l.. J1. THpa)1( 3244 31(3.

Me)l.rH3, MOCKBa, TIeTpoBK3, 123aKa3 1432. 2-H Tl1nOrpa¢I1H Me)l.rH3a, Mocxaa, Kpnsoxonennuk nep., 12.

Y4ACTl1E PE4EBOYf Cl1CTEMbI B PEfYJI5Ull1l1 BEfETATl1BHbIX

KOMflOHEHTOB OPl1EHTl1POB04HOfO PE<PJIEKCA

flPl1 JIOKAJIbHbIX flOP.~)K.EHl15IX M03f A

E. n. XOJ1WWJl, 10. B. Konoeanoe, A. P. J/YPUJl (Mocxaa)

HaY'IHO'HCCJleAOBaTeJlbCKHH op aeua Tpynonor o Kpacuoro 3HaMeHH HHCTI1TYTHeHpoxHpypnlH HMeHH axan. H. H. 6YPAeHKo AMH CCCP

Ilporineva KOpKOBO-nO)lKOpKOBbIX B3aHMOOTI-loweHHH aa nOCJle)lHHe ro-)lbI npnoripena OC06bIH mrrepec B CB5I311C HCCJle)lOBaHH51MHCPYHKUHHuecne-UHcpl14eCKOH pen1KYJl5lpHOH CHCTeMbi. YCTaJ-lOBJleHO, 4TO peTHKYJl5lpHa51CHCTeMa oxassraaer aKTHBHpYlOw.ee BJlH51HHe na KOPY 60JlbWHX no.nyura-PHH (M3rYH, 1956, H np.). 3JIeKl'pH4eCKaH CTHMYJl51UI151peTHKYJl51PHoi-'ICHCTeMbI YBeJIH4HBaeT cnOC06I-10CTb KOPbl 60JIbWHX no.nyurapna YCBaHBaTbpHTMH4ecKHe paanpaaorren», yxauraer pa3p51,QbI, perucrpupyeuue OT OT-nensnsrx HeHpoHoB, oxassmaer «orinervarouiee B03,QeHcTBHe» aa YCJlOBHO-perpaexropuyio ,Q.e51TeJIbHOCTb,npoueccsi )lHcp'cpepeHUl--lpOBaHH51paanpaxca-reneil, 3J1eKTpH4eCKYlO aKTI--IBHOCTb3JIeMeHTOB KOPbl M03ra, noasnu aer ee·MeTa60JI!--IlieCKl--leCPYHKUHH.

06HapY)KeHbl pa3J1H4Hble THnbl aKTHBaUHH KOPbl 60JlbWHX ncnyuiapua co CTOPOHbJ:peTHKYJlHPHOH <jJ0pMauHH. He MeHee Ba)KHOH, OAH3'KO, MeHee pasp atia ruaaeaoa, HBJlHeTCHnp06J1eMa KOpTHKo-peTliKyJlHpHbIX BJlHHHHH, T. e. np06J1eMa KOPKOBOH opraHH3aUHH <jJYHKUHHHIDKeJle)KamHX 06pa30BaHHH. Vl3Y4ellHe AaHHoH np06J1eMbl nnepauc Ha4aTO euie B naoopa-TOpHH 11. Il. Ila anoaa, pa60TaMH KOTOPOH ycranoeneao Y4acTHe xops; 60JlbWHX nonyurapaaB npouecce yraurenaa 0pHeHTl-tpOB04HbIX perpnexcos.

3a noc.nenuee BpeMH nOHBHJlHCb HOBble <jJH3HOJlOrH4eCKHe AOKa3aTeJlbCTBa KOPTHKO-pernxyarrpxux BJlHHHHH. K llX llHCJlY OTHOCHTCH H3MeHel·IHe 3J1eKTpHlfeCKOH aKTHBHOCTll.peTi-lKYJlHPHOll <jJopMaUHH nOA B03AeHCTBHeM anexrpnvecxoro paanpasceuaa KOPbl rOJlOB-noro M03ra (Bpevep. 1954), B03HIIKHOBeHHe p,a3BepHYToro OpHeHTflpOB04Horo perpnexcaco BceMH ero ABI-IraTeJlbHbIMH H BereTaTHBHblMH KOMnOHeHTaMH I1pH 3J1eKTpH4ecKoH CTHMy-JlHUHH onpene.neuuux KOpTllKaJlbHblX 30H (H. VI. JIalrYTH'Ha, 195'5). YCTaHOBJleHO, '1TOnpouecc yraurenas opuearuposouuux peaxuaa HOCHT H36HpaTeJlbHblH xapaxrep H ocy-meCTBJlHeTCH no MexaHH3MY ycnoanoperpnexropnoa 6J10KaAbl HMnYJlbCOB, nocrynarouiaxB permcynapnyio CHCTeMY, -rro B03MO)I<HO JlHWb I1pH Y4.aCTHH xopu 60JlbWHX nonyuiapna(0. C. Bnnorpanoaa, 1959).

Bee 3TH AaHHble, a TaK)Ke pH.D. Jl.pyrHx, CBH.D.eTe.TlbCTBYIOT0 cyuiecraoaanua KOPTHKO-peTH'KYJl5l'PHbIX nYTeH npOBeAeHHH B036Y)KAeHHH. TaKHM 06pa30M, nOMHMO peTHKYJlO-KOP-THKaJlbHblX ,OHH3I-lpY10mHX BJlHHHHH, cymeCTBYIOT KOPTHK<lJlbHble BJlHHHllll n a <jJyHKUllHHH)KeJle)KamHX 06pa30BaHHH, cpenu KOTOPblX Ba)KHOe 3Ha4eHHe HMeeT necneuutpnuecxanpeTHKYJlHpHaH CHCTeMa.

Hccnenonaune OpI-leHTHpOB04HOrO perp.nexca orxpsiaaer 60JlbWHe B03-MO)!(HOCTI--I1--13Y4eHI--I51np06J1eMbI KOpTHKO-peTI--IKYJl51pHbIXB3aI-lMOOTHOWeHI-IH,

, TaK KaK OpI-leHTHpOB04HbIH pedinexc, C O,QHOHCTOPOHbI, no MeXaHI--I3MY CBO-ero B03HI--IKI-IOBeHI--IHTeCI-lO CB513aH C peTHKYJIHPI-IOH CHCTeMOH; C )lpyroHCTOPOHbi. He MeHbwee Y4aCTHe B ero ocyw,eCTBJleHI--IH npl--lHHMaeT 1--1xopa60JlblllHX no.nyurapna.

Ilporineva KOPKOBOH peryJl51UHH 0pHeI-ITHpOBOLJI-IblX peaKUHH HMeeTocorioe 3Ha4eHHe B KJlHHHKe JlOKaJlbHbIX nop axcenan M03ra, rne orxpsisaer-C51 B03MO)!(HOCTb YCTaHOBHTb porn, pa3J1H4Hh1X OT,QeJlOB KOPbI rOJIOBHOrOM03ra B ocymeCTBJIeHHH 0pHeHTl--lpOBOLJHbIXpeaxuns.

O,QHHM 1--13B03MO)KHbIX cnocooos HCCJle)lOBaHH51 .LI.aHHOH np06JIeMbI5IBJlHeTC51H3Y4eHHe roro BJIH51HHH,xoropoe oxaasraaer CJlOBeCHa51CI-ICTeMana nporexanne pa3J1H4I-1bIX,B 4aCTI-IOCTHBereTaTHBHbIX, KOMnOHeHTOBopuen-Tl--lPOB04Horo peqinexca, 4TO H COCTaBHJlOnpenraer HaweH 3KCnep11MeHTaJlh-HOH Ipa60Tbl. l1MeeTcH pH)l 3KcnepHMeI-ITaJlbHhIX ,QaHHblX, CBI1.LI.eTeJlhCTBYlO-W,HX 0 TOM, LJTOnon B03)leHCTBHeM CJlOBeCHblX paanpaxceuaf 113MeH5l1OTC51He TOJlbKO npouasonsuue, HO 1--1aenpoaaao.nsuue peaKUl111 opr arnrare a (LJa-CTOTa cep.LI.ue6HeHHH, Ba30MOTopHble, 3paLJKOBhle peaKUHH H np.) , xoropuerrpu 113BeCTHhIXYCJlOBI--I51XMoryT CTaTh ynpaBJl51eMbIMI1, T. e. nO.LI.LJI1H51ThCHCJlOBeCHOMYnpnxaay (K.. 11. flJIaTOHOB, 11. A. KOTJl51peBCKI1H, 1935).

33

3a rrOCJIe,UHHe rO,UbI 3KCrrepHMeHTaJIbHO YCTaHOBJIeHO BJIlUIHHe CJIOBeC-

HbIX pa3,UpalKHTeJIeH H rra CHCTeMY OpHeHTHpOB04HOrO perp.nexca. Haw a

.aan.a-ra COCT05lJla B TOM, 4T06bI rrpOCJIe,UI1Tb oco6eHHOCTH BJII151HH5I CJIOBeC-

HOH I1HCTpyKUI1H aa sererarnaaue (COCY,UHCTbIH H KOlKHO-raJIbBaHI14eCKHH)

KOMrrOHeHTbI opHeHTHpOB04Horo pedinexca I1pH pa3JIH4HblX JIOKaJIbHbIX I10-

palKeHH5IX rOJIOBHOrO M03ra. C 3TOH uensio HaMH COBMeCTHO C M. KJIHMKOB-

CKHM 6blJIa nposenena CepH5I I1CCJIe,UOBaHliH na HOpMaJIbHblX ncnsrryeuux,·60.TJbHbIX C 06LUeM03rOBblMH HalpyweHH5IMH KOPKOBOH ,Ue5lTeJIbHOCTH H 60JIb-

.HbIX C JIOKaJlbHblMI1 nopaxcenaavn rrepezumx H 3a,UHI1X OT,UeJIOB 60JIbWI1X

.rro.nyiuapaa.

A

2T (lZ) - (10)22

-(6) ? 0Cx .• 6 -(5)

8-I/O) CX?10"

17 u

r~'-PHC. I. BOCCTaHOBJleHHe KfP II COCY,lLIICTbIXpeaxunn na 3BYKH cpe.ll.H~ii IIHTeHCHBHOCTHHOCJle BBe.ll.eHIIH IIHCTPYKl\1I1I Y 60JlbHbiX C onyxonaxn B 06J1aCTH aannea lJepenHoii HMKII.A H E - Kf'P H COCYAHCTble peaxurnr Y 60JlbHOrO C HppHTaTHBHblM CHHAPOMOM; B H r - TO>Ke

Y 60JlbHOrO C CHHAPOMOM YrHeTeHH5I (ABHlKeHHe JleHTbl cneaa aanp aao) .

1',\ e T 0 .Il.II I<a. B p aoore IiCnOJlb30BaHa pa3pa60TaHHaH E. H. COI<OJ10BbIM Ii ero.COTpY.Il.HHKaMH MeTO.ll.H'Ka COllOCTaBJleHII5I opHeHTHpOBOlJHblX peaxumt aa HecHI'HaJlbHble HCIII'HaJlbHble paanpaacnr enu. I1cCJle,[l;OBaJlII KOlKHO-raJlbBaHlI'leCKlle (KfP) II COCY.Il.IICTblepeaKUIIII n a cnenyiourae paanpaacnrenn: 1) xonoztoasre (OT +2° .Il.O +4°); 2) 3'BYKOBble-411CTbie TOHa pa3J1114HOH IIHTeHCKBHOCTII (01' 50 .Il.O 100 .Il.6) K BblCOTa (600 II 550 r n) •

.CITJlOUlHble H npepstnacrue. nJIIlTeJlHHOCTb npe)J,b5lBJleHlfH TeMllepaTypHblX If 3BYKOBbiX pas-.Il.palKKTeJleii COCTaBJlHJla 10-25 ceKYH.Il.. Tlocne yraurenaa KfP II COCY)J,IICTbIXpe,a'KUKH H33BYKH cpenueir HHTeHCHBHOCTH (60-75 ,[1;6) BBO.ll.HJlH paannxnsre HHCTPYKl\lIiI1; Ol\eHHBaTb3BYKH 1l0BbICOTe, !\JIKTeJlbHOCTH HJlH KOJlHlJeCTBY. CJlOlKHOCTb 3a.ll.aHK5I BapbHpOB3J1H.Ilpe,lLbHBJlHJlH 10-12 CHrH3J10B, nocne uero 33ll3HHe OTMeH5IJlU. Ilpocneaoiaana BJlHHHHeBBe)J,eHH5I H OTMeHbI HHCTpYKUHH ua rtporexaune KfP H cOCY.Il.HCTbIX peaxuuji.

DbIJlO HCCJle.ll.OB3HO 20 60JlbHbiX C OllYXOJl5lMH rrepezmnx OT)J,eJlOB M03ra, 16 60JlbHbIXC 01lYXOJl5lMH 3a)J,HlfX OT)J,eJlOB M03ra (TeMeHHo-BHC04HOH. TeMeHHoii H TeMeHHO-3aTbIJlOliHOH06J13CTeii), 3 TaK}Ke 18 60JlbHhIX C ovarov 1l0palKeHIH! B 06J1aCTII 3allHeii neperruof HMI<HII 20 HOpMaJlbHbIX ncrn-rryewux.

B HaCT05lweM C006weHHI1 Mbl OCTaHOBI1MC5I TOJIbKO aa 06LUI1X pe3YJIb-

TaTax rrpOBe,UeHHoro HCCJIe,UOBaHH5I.

KaK I10K33aJIH OI1bITbI, y rrO,U3BJI5IIOLUerO 60JIbWHHCTBa HOpMaJIbHbIX

acnsrryexux (18 113 20) aesa BI1CHMO OT I1CXO,UHoro cpOHa KfP 1 11 CKOPOCTI1

yraurenns KfP na HH,UHcpcpepeHTHble sayxoaue pa3,UpalKHTeJIH, BBe,UeHHe·

CJIOBeCHOH HHCTPYKUHH rrpHBO,UHJIO K CTOHKOMY BOCCTaHOBJIeHHIO yrauieu-HbIX peaxnnf (PYlC. 1). CJIOBeCHa5I HHCTPYKIl,H5I BbI3bIBaJIa 3Ha4HTeJIbHble

H3MeHeHHH B CHCTeMe HerrpOH3BOJIbHbIX opHeHTHpOB04HbIX peaxunii, BOC-

CTaHaBJ1HBa51 cpa3H4eCKI1e (O,UHOKpaTHble) KfP ua KalK,UbIH 113 npem.as-.JIeHHbIX CHfHaJIbHbIX pa3,Up3lKI1TeJIeH 11 O,UHOBpeMeHHO rrOHHlK3H ,UJIHTeJIb-

I COCY)J,KcTble peaKUHI1 Y HOpMaJlbHblX ucnsu-yeuax He HCCJlellOBaJlI1.

34

Hoe TOHH4eCKoe (rpouoaoe) corrpOTHBJIeHHe KO)l(H. OTMeHa HHCTPYKUHH

npHBO,UHJI3 K 6blCTPOMY H CTOHKOMY HC4e3HOBeHHIO cj:>a3H4eCKHX KfP aa

_3BYKOBble paanpaaorrenu H TOHH4eCKOMY noasnuemno ypOBI-!51. conporuane-I-!H5I KO)KH.

Y 60JIbHbiX C 04arOBbIMH rrOpa)l(eHH51.MH 60JIblllHX no.ryurapaa, a ratoxeY 60JIbHbIX co BTOPH4HbIM mrrepTeH3HOHHo-rH'upouecj:>aJIbHbIM CHHJl.POMOM,

ECJIe,UCTBHe rraTOJIOrH4eCKoro rrpouecca B 06JIaCTH 3a,UHeH 4eperrHOH HMKH

npn rrpe,Ub51.BJIeHHH HH,UH.cj:>¢epeI-!THbIX 3BYKOBbIX paanpaxcarenea !3 OTJIH4He

OT HOpMaJIbHbiX ncnsrryesrux, Ha6JIIO,UaJIHCb 2 '¢OPMbI naro.noran COCY,UHC-

TblX H KOiKHO-raJIbBaHH4eCKHX peaKUHH. TIepBaH ¢opMa - HppHTaTHBHbIH

CHH'uPOM, BblpaiKalOllJ,HikH B 4aCTblX cnoaraunux KOJIe6aHHHx COCY,UHCTbIX

H KomHO-raJIbBaHH4eCKHX 'peaKUHH, C ,UJIHTeJIbHbIM H BOJIH006pa3HbIM yra-

llleHHeM 3THX peaKUHH na 3BYKoBbie CHrHaJIbI. PeaKUHH Ha6JIIO,UaJIHCb KaK

rrpn rrpe,Ub5lBJIeHHH CHJIbHbIX, TaK H npa rrpe,UbHBJIeHHH CJIa6bIX 3BYKOB.

Bropa s rpopxa - CHH'uPOM yrHeTeHH5I, rrpOHBJIHIOlll,HHCH B pa3JIH4HOH CTe-

TIeHH H aup axcaioumaca B OTCYTCTBHH HJIH CJIa60H BblpameI-!HOCTH opHeHTH-

POB04HbIX COCY,UHCTbIX H KQ)KHo-raJIbBaHH4eCKHX peaKUHH. Tlpouecc yraure-HHH 6bIJI YKop04eHHbIM H reHepaJIH30BaHI-!bIM. PeaKUHH B03HHKaJIH, xax

rrpaBHJIO, na cpermue H CHJIbHble 3BYKH H OTCYTcTBOBaJIH npu cnatiux.B 60JIbilleH creneinr B 3THX CJIY4aHx 6bIJIlf coxpaneuu 6e3YCJIOBHble peas-

UHH. VIMeJIo MeCTO onpene.aeauoe COOTBeTCTBHe MeiK,UY crerteasio yrHeTeHHH

OpHeI-!THpOB04HbIX peaKUHH H creneasio aupaacennocru BHYTlpH4eperrHoH

rnneprenaau.Y 60JIblllHHCTBa 60JIbHbIX C nopaxcennex 3a,UHHX OT,UeJIOB M03ra

(13 113 16) rl1rrepTeH3HoHHo-rH,Upoue¢aJIbHbIM CHH'uPOMOM, B03HHKlllHM

BCJIe,UCTBl1e cnyxo.nu 3a,UHeH xepenaoa HMKH (11 H3 18), npe06JIa,UaJIH re

HJII1 HHble ¢OPMbI appararuaaoro rraTOJIOrH4eCKoro H3MeHeHHH BereTaTHB-

HbIX KOMrrOHeHTOB Op11eHTHpOB04Horo peqinexca. Hecsrcrps na pa3JIH4He

HCXO..'l.HOrO ¢oHa, Y nonaansrourero 60JIblllHHCTBa 60JIbHbIX C nopaaceuaea3a,ll,HHX OT.lI.eJIOB M03ra (rro .lI.aHHbIM M. KJIHMKOBCKoro, 1961) H BTOPWlHbIM

nmepTeH3HoHHO-rl1.l1.pOue¢aJIbHbIM CHH.lI.POMOM BCJIe.ll.CTBHe rraTOJIOrH4eCKoro

npouecca B 06JIaCTH 3a.ll.HeH 4eperrHoH HMKH (rro .lI.aHHbIM E. n. XOMCKOH,

1960, 1961) asenenue HHCT'PYKUHH rrpHBO,D,:HJIO K CTOHKOMY BOCCTaHOBJIeHHIO

COCY,UHCTbIX H KomHo-ra.'1bBaHH4eCKHX peaKUHH na 3BYKoBble CHrHaJIbl.

Opuerrrapoaouaue peaKUHH cOXpaHHJIHCb aa nporaxcenaa 10-12 pas,

noxa aaztaune ouenaaars carnaau He OTMeHHJIOCb (pHC. 2). TIO.ll.06HbIH 3.¢-

¢eKT B TO[I I1J11i HHOH creneaa Ha6JIlO.lI.aJICH Y scex 16 60JIbHbIX C onyxo.na-

MH 3a,UHHX OT.lI.eJIOB 60JIblllHX noayurapan H y 15 H3 18 60JIbHbIX C orryxo-

JI51.MH B 06JIaCTH 3a,ll,HeH uepennojr HMKH. Y OCTaJIbHbIX 3 60JIbHbIX yracars

opneuruposounsre peaKUHH na HH.lI.H¢¢epeHTHble 3BYKoBble CHrHaJIbI Hey,UaJIOCb.

BJIHHHHe HHCTPYKUHH aupaacanocs He TOJIbKO B BOCCTaHOBJIeHHH yra-

llleHHbIX COCY.ll.HCTbIX H KOiKHO-raJIbBaHH4eCKHX IpeaKUHH B OTBeT na 3BYKH,

HO H B HeKOTopOH HOpMaJIH3aUHH 3THX peaKUHH. COCYJl.HCTbie peaKUHH

{:TaHOBHJIHCb 60JIee HOpMaJIbHbIMH rro .lI.JIHTeJIbHOCTH, aMrrJIHTy,Ue, rpop ae,

KfP CTaHOBHJIHCb 60JIee HHTeHCHBHbIMH. Hapany C o.ll.HOKpaTHblMH peax-

UI1HMH B OTBeT na rrpe.ll.bHBJI51.eMble Cl1rHaJIbI 113MeI-l51.JICHTaK)Ke H 06llJ,HH

¢OI-lOBbIH ypoaens corrpOTHBJIeHHH KO)KH, KaK 3TO HMeeT MeCTO H Y HO'P-

MaJIbI-lbIX ncnsrrvevux. HC4e3aJIH HJIH COKpallJ,aJIHCb rraTOJIOrH4eCKHe peax-

UHH HOpMaJIH30BaJIaCb rpouoaaa aKTHBI-IOCTb. Y HeKOTOIpbIX 60JIbHbIX

-CrJIaiKHBaJIaCb aCHMMeTpHH COCY.ll.HCTbiX H KOiKHO-raJIbBaHH4eCKHX peaKUHH.

TIO.ll.06Ha51 HOpMaJIH3aUHH COCY,UHCTbIX H KomHblX raJIbBaHH4eCKHX peaxuaii

rrOCJIe aaeneuns HHCTPYKUHH 5IBJIHeTC51. pe3YJIbTaTOM YCHJIeHHH KOPKOBbIX

MexaHH3MOB peryJIHUHH BereTaTHBHbIX KOMrrOHeHTOB opHeHTHpOB04HblXpeaxuna.

I1HaH KapTHHa Ha6JIlO.lI.aJIaCb y 60JIbHbIX C nopazceaue« JI06HbIX .lI.OJIeH

M03ra. B OTJIH4He OT orrncaaaoro asuue npu npem-aanenaa HH.lI.H¢¢epeHT-

RbIX, HeCHrHaJIbHbIX, pasnpaxcarenej; y ,UaHHblX 60JIbHbIX, KaK rrpaBHJIO,

35

HMeJIa MeCTO Ta I1JII1 I1Ha51 crenens yrHeTeHI151 BereTaTHBHbIX KOMnOHeHTOB

Opl1eHTl1pOBOl.JHOrO perpnexca (y 15 113 20). Y MeHhlllero l.JHCJIa 60JIbHbIX

uarimonanocs naTOJIOrl1l.JeCKOe YCI1JIeHl1e 11 HeycTOHl.JHBOCTh 3TI1X KOMno-

HeHTOB.

-(8)15

(10)10

-(8)17

ell? 8' - (5)• 18 I-

HO"O"

~ 15 (8) IS (10) IUHCm)7Yl<lfliR 7i (8) C<8' -;;-(5) ex?""

~l!oIrm~1M""r"'l"'lII'!\!1'I!ntr"I!I'm,..",,,I'~\~~~

&t3ox-~--------------------------------------~~------------~HG 0

" tJOOX

2 1800cu) KaWe/lb

T~-- ....--.'-'"""-.~"'--~~T (8002l1)

, ? ; "HaHOU -"HlIJXUIl.

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Ilocrynun a B pe.!(3Kl.\HIO 2'IV 1961 r.

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PARTICIPATION OF THE SPEECH SYSTEM IN THE REGULATION OFVEGETATIVE COMPONENTS OF THE PERCEPTION REFLEX IN LOCAL LESIONS

OF THE BRAIN

E. D. Khomskaya, Yu. V. Konoualou, A. R. Luriya

Summary

In lesions of posteriour sections of large hemispheres and all-round disturbancesof the higher cortical functions of the brain the speech regulation of vegetative compo-nents of the perception reflex, as a rule, remains intact. The lesion of anteriour divisionsof the brain is, most frequently, attended with attenuation, or complete exclution of speechregulation, cutaneogalvanic reactions, this, apparentry, being due to the pathological con-dition of cortico-reticular connections, via which the influence of the cortex upon the re-ticular formation is realized.

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CONTENTS

Honored Scientist Professor Mikhail Yu-lievich Rapopport (70th Anniversary ofBirthday)

Ego I' 0 v, B. G. and Vi n a I' s k a y a.E. N.: Disorders of the Higher Corti-cal Functions Following Resection ofthe Brain to Obtain Access to Deep·Seated Cerebral Tumors

K 0 rei s h a, L. A.: Principles UnderlyingTreatment of Intracerebral Tumors

/I. r end t, A. A.: Urgent Problems of Dia-gnosis and Surgical Tactics in Br ainTumors of Children

K 0 p Y I 0 v, M. B.: Pathological Condi-tion of Deep-Seated Veins in Brain 1111-paction into the Tentorial Foramen

K 0 I' n ya n sky, G. P., S vir i d 0 v :1,

A. E.: J\\yoclonia of the J\\uscles of lhcSoft Palate, Pharynx and Larynx Fol-lowing Operative Removal of Ccrebcl-lar Tumors and Neurinomas of theAcoustic Nerve

Us p e J1s k a y a, O. S.: Features Speci-fic to the Clinical Picture of the J\le-dulla Oblongata

K h 0 m s k a y a, E. D., K 0 n 0 val 0 v,Yu. V., L u r i y a, A. R.: Par ticipatiou ofthe Speech System in the Regulation "rVegetative Components of the Percep-tion Reflex in Local Lesions of theBrain

Podgornaya, A. Ya.: On the ClinicalStudy of Brain Abscesses Attended wit.:Lesions of Subcortical Ganglions

She fer, D. G. and Bel y a e v, Yu. I.:Epyleptic Seizures and Histologica IStructure of Brain Tumors

K and e I, E. I.: Surgical Treatment ofParkinsonism and of Other Affectionsof the Extrapyramidal System. Commu-nication I I. Analysis of the Results Fol-lowine: Operative Interference in Par-kinsonism

L u r i e, Z. L.: Brain Abscesses in Con-genital Cardiac Failures

13 I' a gin a, N. N.: Features Particular tothe Epyleptic Syndrome in Patientswith Parasagittal Tumors of the MotorZone

F a II e 1', T. 0.: Vascular Derangementsin Cysticercosis of the Brain

S m i r n 0 v, N. A.: Features Specific ofDislocational Quadrigeminal Synd rornein Tumors of the Temporal Lobe

40 «on.

C I-ro ceHTSl6pSl1961 r.nPHHHMAETC5I nO,LI.nHCKA

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