Burtsev E M, Deputatov V P, Novikov A E
Zh Nevropatol Psikhiatr Im S S Korsakova. 1977;77(12):1781-4.
In 53 patients in different periods of brain strokes the authors studied the functional state of spinal centers by means of registration of H-reflex and F-wave of the skeleton muscles. In spite of the stroke character a marked increase of excitation of the spinal centers was observed, it being especially significant in the subacute period of the disease. The increase of H-reflex amplitude was maximal in extremities, contralateral to the focus of the lesion, but it was observed on the lesion side as well. The patients with cerebral coma in the acute stage of the stroke demonstrated a descrease of relation between central and motor responses up to 12--13%, it gradually increased as the coma ceased. The latent period of F-wave on the both extremities was reliably lower than the control indices along the whole period of the study. The authors show the significance of registration in the dynamics of the muscle evoked potentials for topical diagnosis of the cerebral vessel process and for effective control of the administered therapy.
作者对53例处于不同病程阶段的脑卒中患者,通过记录骨骼肌的H反射和F波,研究了脊髓中枢的功能状态。尽管卒中类型不同,但均观察到脊髓中枢兴奋性显著增加,在疾病亚急性期尤为明显。H反射波幅增加在病变灶对侧肢体最为显著,但在病变侧肢体也有观察到。处于卒中急性期的脑昏迷患者,中枢与运动反应之间的关系下降至12% - 13%,随着昏迷的解除逐渐上升。在研究的整个期间,双侧肢体F波的潜伏期均明显低于对照指标。作者指出,记录肌肉诱发电位的动态变化对于脑血管疾病的定位诊断及所实施治疗的有效监测具有重要意义。