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[视觉诱发电位在多发性硬化症患者视觉系统多发性病变测定中的应用]

[VEP in the determination of multiple lesions in the visual system in patients with multiple sclerosis].

作者信息

Röder H

机构信息

Klinik für Neurologie und Psychiatrie, Ernst-Moritz-Arndt-Universität Greifswald.

出版信息

EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1991 Dec;22(4):234-8.

PMID:1786785
Abstract

18 patients with proven multiple sclerosis were examined by pattern reversal visual stimulation. Stimulations were carried out on full fields, foveal areas and horizontal half-fields of single eyes and on half-fields of both eyes. 77% of the patients demonstrated pathological alterations of the potentials in more than one kind of stimulation. In all patients pathological signs could be found, which pointed on the optic nerve. Only the results of three patients suggested a lesion within the central optic pathway. The demonstration of multiple lesions of the optic system in patients with multiple sclerosis is difficult and rarely possible.

摘要

对18例确诊为多发性硬化症的患者进行了图形翻转视觉刺激检查。刺激分别在单眼的全视野、中央凹区域和水平半视野以及双眼的半视野上进行。77%的患者在一种以上的刺激中表现出电位的病理改变。在所有患者中都能发现指向视神经的病理体征。只有3例患者的结果提示中枢视路存在病变。在多发性硬化症患者中证明视系统的多发性病变是困难的且很少可能。

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