de Weerd A W, Veldhuizen R J, Veering M M, Poortvliet D C, Jonkman E J
Department of Clinical Neurophysiology, Westeinde Hospital, The Hague, The Netherlands.
Acta Neurol Scand. 1989 Apr;79(4):311-5. doi: 10.1111/j.1600-0404.1989.tb03791.x.
In a series of patients with unilateral supratentorial ischemia, clinical scores and parameters derived from computer analysis of the EEG and from measurement of the CBF were determined in the first several weeks after the stroke. Seventeen of these patients underwent a carotid-endarterectomy and 15 a STA-MCA bypass operation. Matched control patients were selected from the remaining cases. All patients, including the controls, were eligible for vascular surgery. The measurements were repeated respectively 3 months and 3 years after the first examination. Clinical improvement occurred in all groups. The degree of these clinical changes was similar for operated and non operated cases. EEG changes indicated more improvement in the cases without surgery. Finally, the CBF was remarkably stable in all patients. The overall effects of reconstructive vascular surgery on the recovery after cerebral ischemia appeared to be negligible.
在一系列单侧幕上缺血患者中，在中风后的最初几周内确定了临床评分以及通过脑电图计算机分析和脑血流量测量得出的参数。其中17例患者接受了颈动脉内膜切除术，15例接受了颞浅动脉-大脑中动脉搭桥手术。从其余病例中选取了匹配的对照患者。所有患者，包括对照组，均符合血管手术条件。在首次检查后的3个月和3年分别重复进行测量。所有组均出现临床改善。手术组和非手术组的这些临床变化程度相似。脑电图变化表明未手术的病例改善更多。最后，所有患者的脑血流量都非常稳定。重建性血管手术对脑缺血后恢复的总体影响似乎可以忽略不计。
