Safronov V A, Ermekov Zh M
Zh Vopr Neirokhir Im N N Burdenko. 1991 May-Jun(3):29-32.
The authors studied the changes in the motor sphere in 75 patients with brain ischemia before and after creation of an extra-intracranial microvascular anastomosis (EICMA). Voluntary efforts of the hand and the volume of movements at all joints and the muscular tonus were measured. The last named was studied both by means of ordinary clinical manipulations and by special devices allowing determination of the value of the spastic component, rigidity, and the contracture component. Symptoms reflecting the condition of the motor sphere, the muscular tonus included, were found to be most informative among the variety of neurological signs. Mechanographic studies in dynamics provide the possibility for appraising the efficacy of the treatment and, evidently, for prognosticating its outcome. The operation of EICMA improves the patient's condition and even restores his working capacity if it restores circulation of blood in those parts of the brain the functioning of which was temporarily disturbed due to insufficiency of the blood flow.
作者研究了75例脑缺血患者在进行颅外-颅内微血管吻合术（EICMA）前后运动功能区的变化。测量了手部的自主运动、所有关节的活动量以及肌肉张力。通过常规临床操作和特殊装置研究了肌肉张力，特殊装置可测定痉挛成分、强直及挛缩成分的值。在各种神经学体征中，反映运动功能区状况（包括肌肉张力）的症状被发现最具信息量。动态力学记录研究为评估治疗效果以及显然为预测治疗结果提供了可能性。如果EICMA手术能恢复因血流不足而暂时受损的脑部区域的血液循环，就能改善患者状况，甚至恢复其工作能力。
