Reisecker F
Abteilung für klinische Neurophysiologie und Nuklearmedizin, Wagner-Jauregg-Krankenhaus, Linz.
EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1988 Jun;19(2):55-61.
Short latency SEP were investigated in 140 patients suffering from various cerebrovascular ischemic disease (CVD). CCT,AR and number of cortical phases of each stimulation side, as well as AR left to right side (AR l/r) were correlated to patient's age and sex, to diagnosis and vascular supply, to clinical symptoms, duration between stroke and investigation, SPECT, TCT and EEG. Significant correlations were found between CCT and diagnosis, vascular supply, clinical symptoms, duration, SPECT and TCT findings. CCT was prolonged in patients with completed stroke, MID, ischemia of the A.C.M., sensomotor hemiparesis or monoparesis of the upper extremity and lesions in SPECT and TCT located within thalamus and/or postcentral gyrus. Decreased perfusion in SPECT was only of statistical significance when it was combined with clinical symptoms and/or lesions in TCT. Significant correlations were found between AR l/r and all variables except age and sex. Differences in sub-groups corresponded to those found for the CCT. AR was lower at the affected side. Deviations of AR were also found in patients with focal lesions both in the EEG and in the TCT. Significant correlations were found between number of phases, clinical findings and SPECT, but no correlation was seen to TCT. Patients with CVD showed significant abnormalities of CCT and AR only in cases presenting neurological deficit and structural lesion in TCT. The abnormalities were more prominent in patients with an interval stroke-investigation over one year. No abnormalities were seen in patients with reversible symptomatology investigated after cessation of symptoms. A direct correlation may be suspected between number of phases and tracer uptake in SPECT.
对140例患有各种脑血管缺血性疾病(CVD)的患者进行了短潜伏期体感诱发电位(SEP)研究。计算了每个刺激侧的中枢传导时间(CCT)、峰间潜伏期(AR)和皮质相数量,以及左右侧AR之比(AR l/r),并将其与患者的年龄、性别、诊断、血管供应、临床症状、卒中与检查之间的时间间隔、单光子发射计算机断层扫描(SPECT)、计算机断层扫描(TCT)和脑电图(EEG)进行相关性分析。发现CCT与诊断、血管供应、临床症状、时间间隔、SPECT和TCT结果之间存在显著相关性。在完全性卒中、多发性梗死性痴呆(MID)、大脑中动脉供血区缺血、感觉运动性偏瘫或上肢单瘫以及SPECT和TCT显示丘脑和/或中央后回有病变的患者中,CCT延长。SPECT中灌注降低只有在与临床症状和/或TCT中的病变相结合时才具有统计学意义。发现AR l/r与除年龄和性别之外的所有变量之间存在显著相关性。亚组差异与CCT的差异相对应。患侧的AR较低。在EEG和TCT中均有局灶性病变的患者中也发现了AR的偏差。发现皮质相数量与临床结果和SPECT之间存在显著相关性,但与TCT无相关性。患有CVD的患者仅在出现神经功能缺损和TCT中有结构性病变的情况下,CCT和AR才显示出显著异常。在卒中与检查间隔超过一年的患者中,这些异常更为明显。在症状停止后接受检查的有可逆性症状的患者中未发现异常。可以怀疑皮质相数量与SPECT中的示踪剂摄取之间存在直接相关性。