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缺血性疾病中的早期体感诱发电位——II:无症状血管狭窄/闭塞、复杂性偏头痛、短暂性脑缺血发作、可逆性缺血性神经功能缺损、完全性卒中及多发梗死性痴呆的正常值及表现

[Early somatosensory evoked potentials in ischemic diseases--II: Normal values and findings in asymptomatic vascular stenoses/occlusions, complicated migraine, transitory ischemic attacks, reversible ischemic neurologic deficit, complete stroke and multi-infarct dementia].

作者信息

Reisecker F

机构信息

Abteilung für klinische, Neurophysiologie und Nuklearmedizin im Wagner-Jauregg-Krankenhaus, Linz.

出版信息

EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1988 Mar;19(1):44-52.

PMID:3131109
Abstract

Somatosensory evoked potentials (SEP) were investigated in 140 patients suffering from cerebro-vascular ischemic disease (CVD). Data were compared to age-correlated normal persons (n = 26; male 16, mean age 55.6 years SD 10.9). Patients with asymptomatic vascular diseases (n = 10; male 7, mean age 63.8 years SD 10.4) showed bilateral prolonged CCT (left side p less than 0.05). Patients with TIA (n = 44; male 21, 58.3 years SD 12.3), complicated migraine (n = 3, all female, 24, 40, 63 years) and RIND (n = 17; male 10, 56.5 years SD 16.8) showed no abnormalities of CCT and AR as compared to normals. Abnormalities of PHAS were only seen in patients with RIND of the right carotic supply. In patients suffering from completed stroke (n = 40; male 29, mean age 56.9 years SD 14.4) bilateral prolongation of CCT was seen in those with ischemia of the right carotic supply; those with ischemia of the left carotic supply showed a significant asymmetry of CCT and deviation of AR l/r. In two patients with infarction of the pons an increase of CCT and decrease of AR at the side of the lesion was found. Patients with MID (n = 27; male 20, 69.7 years SD 10.3) showed significant bilateral prolongation of CCT, increase of AR (at the side of stimulation) and deviation of AR l/r (1.63).

摘要

对140例脑血管缺血性疾病(CVD)患者进行了体感诱发电位(SEP)研究。将数据与年龄匹配的正常人(n = 26;男性16例,平均年龄55.6岁,标准差10.9)进行比较。无症状血管疾病患者(n = 10;男性7例,平均年龄63.8岁,标准差10.4)表现为双侧CCT延长(左侧p<0.05)。短暂性脑缺血发作(TIA)患者(n = 44;男性21例,58.3岁,标准差12.3)、复杂性偏头痛患者(n = 3,均为女性,年龄分别为24、40、63岁)和可逆性缺血性神经功能缺损(RIND)患者(n = 17;男性10例,56.5岁,标准差16.8)与正常人相比,CCT和AR均无异常。PHA异常仅见于右侧颈动脉供血的RIND患者。在完全性卒中患者(n = 40;男性29例,平均年龄56.9岁,标准差14.4)中,右侧颈动脉供血缺血者表现为双侧CCT延长;左侧颈动脉供血缺血者表现为CCT明显不对称和AR左右偏差。在2例脑桥梗死患者中,发现病变侧CCT增加和AR降低。多发梗死性痴呆(MID)患者(n = 27;男性20例,69.7岁,标准差10.3)表现为双侧CCT明显延长、AR增加(刺激侧)和AR左右偏差(1.63)。

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