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多发性硬化症患者眨眼反射异常与磁共振成像结果的相关性。

Correlation between blink reflex abnormalities and magnetic resonance imaging findings in patients with multiple sclerosis.

机构信息

Neurology Department, Faculty of Medicine, Pamukkale University, 90-20020, Denizli, Turkey.

出版信息

Acta Neurol Belg. 2013 Sep;113(3):265-9. doi: 10.1007/s13760-012-0175-1. Epub 2013 Jan 29.

Abstract

This study investigates the correlation between brain magnetic resonance imaging findings and blink reflex abnormalities in patients with relapsing remitting multiple sclerosis. Twenty-six patients and 17 healthy subjects were included in this study. Blink reflex test (BRT) results were obtained using right and left stimulations; thus, 52 BRT results were recorded for the patient group, and 34 BRT results were recorded for the control group. The magnetic resonance imaging (MRI) findings were classified based on the existence of brainstem lesions (hyperintense lesion on T2 weighted (W) and fast fluid-attenuated inversion recovery MRI or contrast-enhancing lesion on T1W MRI). Correlation analysis was performed for the BRT and MRI findings. The percentage of individuals with abnormal BRT results (including R1 latency, ipsilateral R2 latency, and contralateral R2 latency) was significantly higher in the patient group as compared to the control group (p values: 0.015, 0.001, and 0.002, respectively). Correlation analysis revealed significant correlations between contralateral R2 latency abnormalities and brainstem lesions (p value: 0.011). Our results showed significant correlation correlations between contralateral R2 latency abnormalities and brainstem lesions and these results may be explained the effects of multiple demyelinating lesions of the brain stem of patients with relapsing remitting multiple sclerosis.

摘要

本研究旨在探讨复发缓解型多发性硬化症患者的脑磁共振成像(MRI)结果与眨眼反射异常之间的相关性。本研究纳入了 26 名患者和 17 名健康对照者。采用右侧和左侧刺激获取眨眼反射测试(BRT)结果,因此,患者组共记录了 52 个 BRT 结果,对照组共记录了 34 个 BRT 结果。根据脑干病变(T2 加权像(W)和快速液体衰减反转恢复 MRI 上高信号病变或 T1W MRI 上增强病变)的存在对 MRI 结果进行分类。对 BRT 和 MRI 结果进行相关性分析。与对照组相比,患者组中异常 BRT 结果(包括 R1 潜伏期、同侧 R2 潜伏期和对侧 R2 潜伏期)的个体比例显著更高(p 值分别为 0.015、0.001 和 0.002)。相关性分析显示,对侧 R2 潜伏期异常与脑干病变之间存在显著相关性(p 值:0.011)。我们的结果显示,对侧 R2 潜伏期异常与脑干病变之间存在显著相关性,这些结果可能解释了复发缓解型多发性硬化症患者脑干多发性脱髓鞘病变的影响。

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