Oei L T, Kuys J, Lombarts A J, Goor C, Endtz L J
Clin Neurol Neurosurg. 1979;81(1):59-63. doi: 10.1016/s0303-8467(79)80008-6.
The cerebrospinal fluid glutamine level was determined and an electro-encephalogram was made at roughly the same time in 41 patients on 55 occasions. A modified electro-encephalographic grading for practical use was introduced, because the classical electroencephalographic grading described by PARSONS-SMITH et al. (1957) does not apply to patients in deep coma. A significant correlation was found between the natural logarithms of cerebrospinal fluid glutamine levels and the electro-encephalic grade. In combination, these parameters provide valuable diagnostic and prognostic information in hepatic encephalopathy, and each can serve separately for follow-up purposes.
对41例患者进行了55次检测，大致在同一时间测定了脑脊液谷氨酰胺水平并进行了脑电图检查。由于PARSONS - SMITH等人（1957年）描述的经典脑电图分级不适用于深度昏迷患者，因此引入了一种实用的改良脑电图分级。脑脊液谷氨酰胺水平的自然对数与脑电图分级之间存在显著相关性。综合起来，这些参数为肝性脑病提供了有价值的诊断和预后信息，并且每个参数都可单独用于随访目的。
