Logar C, Freidl W, Lechner H
Neurologische Universitätsklinik Graz.
EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1992 Jun;23(2):101-4.
In 163 patients with focal cerebral lesions, 43 of them with completed stroke, 43 patients with TIA, 33 patients with ICH and 29 patients with malignant and 15 patients with benign tumors EEG mapping and CT was performed. The results of EEG mapping obtained using automated artifact detection were compared to those achieved by means of visual control of raw EEG. Furthermore the impact of long (850 +/- 250s) or short (32s) analysis time was studied. Eliminating artifacts by means of visual control of raw EEG significantly more positive results were obtained than using automated artifact detection. That was found in patients with as well as in patients without lesions in CT. In relation to etiology a significant difference was found only in cerebrovascular diseases but not in the other patients-groups. Corresponding results were found in 75% of the patients. The visual control provided additional lateralization especially in patients with CS (37%) and TIA (26%). A longer duration of analysed EEG epochs did not increase the number of focal changes in EEG mapping.
在163例局灶性脑病变患者中,其中43例为脑卒中患者、43例为短暂性脑缺血发作(TIA)患者、33例为脑出血(ICH)患者、29例为恶性肿瘤患者以及15例为良性肿瘤患者均接受了脑电地形图(EEG mapping)和CT检查。将使用自动伪迹检测获得的脑电地形图结果与通过原始脑电图视觉控制获得的结果进行比较。此外,还研究了长(850±250秒)或短(32秒)分析时间的影响。通过原始脑电图视觉控制消除伪迹比使用自动伪迹检测获得的阳性结果显著更多。这在CT有病变和无病变的患者中均有发现。就病因而言,仅在脑血管疾病患者中发现了显著差异,而在其他患者组中未发现。75%的患者得到了相应结果。视觉控制尤其在脑梗死(CS)患者(37%)和TIA患者(26%)中提供了额外的定位信息。更长的脑电图分析时长并未增加脑电地形图中局灶性变化的数量。