Shklovskiĭ V M, Lukashevich I P, Kurkova K S, Machinskaia R I, Serova G G, Akopova N V, Mamicheva E D
Zh Nevrol Psikhiatr Im S S Korsakova. 1999;99(8):28-30.
Simultaneous consideration of both electroencephalographic and neurologic data as well as the results of both computer and emission computer tomography in patients with consequences of ischemic stroke during a process of neurorehabilitation gave chance for more accurate definition of organic origin of some EEG phenomena. It was found that a damage of the conductive pathways between the cortex and subcortical structures associated with disorders of blood circulation in the area of the middle cerebral artery was accompanied by local disorders in electric activity of the cortex mainly in form of polymorphic waves of theta- and delta-ranges and groups of theta-waves. Besides, a character of the slow waves depended on the size of the damage and on the degree of a decrease of blood circulation in the area of the damage. A decrease of the damage focus and improvement of circulation during restoration process was accompanied by changes in local deviations in cortical electric activity: polymorphic slow waves activity was replaced by sharp waves of alpha- and theta-ranges. Location of the changes of electric activity in caudal regions of the cortex is an unfavourable prognostic sign for restoration of motor activity in patients with ischemic stroke.
在神经康复过程中,同时考虑缺血性中风患者的脑电图和神经学数据以及计算机断层扫描和发射计算机断层扫描的结果,为更准确地确定某些脑电图现象的器质性起源提供了机会。研究发现,与大脑中动脉区域血液循环障碍相关的皮质与皮质下结构之间传导通路的损伤,主要表现为θ和δ频段的多形波以及θ波群,伴有皮质电活动的局部紊乱。此外,慢波的特征取决于损伤的大小以及损伤区域血液循环减少的程度。在恢复过程中,损伤灶缩小和血液循环改善伴随着皮质电活动局部偏差的变化:多形性慢波活动被α和θ频段的尖波所取代。皮质尾部区域电活动变化的位置对缺血性中风患者运动功能恢复来说是一个不利的预后指标。