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[通过短潜伏期听觉诱发电位方法对脑卒中脑干继发性病变进行侧别定位]

[Lateralization of secondary lesions of the brain stem in stroke by the method of short-latency auditory evoked potentials].

作者信息

Brutian A G, Solov'ev O I, Alferova V V

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1991;91(7):47-50.

PMID:1661481
Abstract

Twenty-seven patients with acute cerebral circulation disorders (ACCD) in large hemispheres and 4 patients with ACCD in the cerebellum were examined by means of short-latent acoustic evoked potentials (SAEP). The signs of the secondary stem syndrome were recorded in the neurological status of all the patients. Computer-aided tomography discovered displacement of the median structures of varying degree and deformation of cisternal spaces of the stem. The data obtained allowed a conclusion about a possibility of lateralization of the side of a greater injury to the stem by means of SAEP. As a rule, it was made ipsilaterally to the supratentorial focus. Provided the focus is seated subtentorially, a special pattern of SAEP may occur, namely primary changes in 1-3 components till complete disappearance of the evoked response.

摘要

对27例大脑半球急性脑循环障碍(ACCD)患者和4例小脑ACCD患者进行了短潜伏期听觉诱发电位(SAEP)检查。所有患者的神经状态均记录有继发性脑干综合征的体征。计算机断层扫描发现脑干中位结构有不同程度的移位和脑池空间变形。所获得的数据使我们能够得出结论,即通过SAEP有可能确定脑干损伤较重一侧的位置。通常,该侧与幕上病灶同侧。如果病灶位于幕下,则可能出现SAEP的特殊模式,即1 - 3个成分的原发性改变直至诱发电位完全消失。

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Zh Nevropatol Psikhiatr Im S S Korsakova. 1991;91(7):47-50.
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