Dobronravova I S
Zh Vyssh Nerv Deiat Im I P Pavlova. 1990 Nov-Dec;40(6):1105-14.
To study the problem of consciousness an original structural-functional approach has been applied with the use of possibilities of spectral-coherent EEG analysis in evaluation of human brain functional state together with the specificity of the cerebral coma having local focal belonging. It is revealed that the most informative signs for characteristics of consciousness state are peculiarities of reconstruction of intercentral relations of the electrical brain processes: decrease of mean levels of the EEG coherence at progressive development of coma; staged approach to relative norm at regressive course of comatose state and recovery of consciousness; their stability on the low level at prolonged coma; increase in low or high (above optimum) frequencies band at neighbouring with coma states of consciousness. It may be considered that one of the necessary conditions of normal state of consciousness is preservation of the optimum level of correlation of electrical brain activity alongside with frequency-regional specificity of the EEG coherence spectrum. Any deviation from the optimum is unfavourable condition for normal course of cerebral reactions because of the disturbance of intercentral connections mosaic necessary for their realization.
为研究意识问题,采用了一种原创的结构功能方法,利用频谱相干脑电图分析的可能性来评估人类大脑功能状态,并结合具有局部病灶归属的脑昏迷的特异性。结果表明,意识状态特征最具信息性的标志是脑电过程中枢间关系重建的特点:昏迷进行性发展时脑电图相干性平均水平降低;昏迷状态消退和意识恢复过程中逐步接近相对正常状态;长时间昏迷时其在低水平保持稳定;与意识昏迷状态相邻时低频或高频(高于最佳值)频段增加。可以认为,意识正常状态的必要条件之一是保持脑电活动相关性的最佳水平以及脑电图相干谱的频率区域特异性。由于实现脑反应正常过程所需的中枢间连接镶嵌体受到干扰,任何偏离最佳值的情况都是脑反应正常进程的不利条件。