Lisý L
Katedra neurológie Institútu pre d'alsie vzdelávanie, Lekárov a farmaceutov, Bratislava.
Cesk Neurol Neurochir. 1990 May;53(3):181-7.
Stretch reflex responses in the m. abductor pollicis brevis were elicited by percussion with the reflex hammer on the distal digit of the thumb. On the side of spastic hemiparesis the author revealed more marked short-latency and suppression of medium- and late-latency parts of the reflex response. On the side of weak central hemiparesis also the short-latency part of the reflex response was suppressed. In functionally conditioned pareses the author found dishabituation of medium and late latency parts of the reflex response. On the side of the cerebellar lesions there was a relatively higher amplitude of the second part of the medium-latency response. In patients with the diagnosis of definite multiple sclerosis in addition to suppression of medium and late- latency parts of the reflex response there was a typical prolongation their latency.
用反射锤轻敲拇指远端指骨,引出拇短展肌的牵张反射反应。在痉挛性偏瘫侧,作者发现反射反应的短潜伏期更为明显,且中潜伏期和长潜伏期部分受到抑制。在中枢性轻偏瘫侧,反射反应的短潜伏期部分也受到抑制。在功能性条件性轻瘫中,作者发现反射反应的中潜伏期和长潜伏期部分出现去习惯化。在小脑病变侧,中潜伏期反应第二部分的振幅相对较高。在诊断为明确多发性硬化症的患者中,除了反射反应的中潜伏期和长潜伏期部分受到抑制外,其潜伏期还有典型的延长。