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[正中神经体感诱发电位与神经重症医学中的预后——255例患者的研究]

[Median nerve SEP and prognosis in neurological intensive medicine--a study of 255 patients].

作者信息

Haupt W F, Schumacher A

机构信息

Schwerpunkt Neurologie, Universitäts-Nervenklinik Köln.

出版信息

EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1988 Sep;19(3):148-51.

PMID:3141137
Abstract

The prognostic implications of bilaterally abolished cortical median-nerve evoked somatosensory potentials were examined in a retrospective study of 255 patients with neurological disease requiring intensive unit treatment. In 57 cases, we encountered bilaterally abolished somatosensory potentials. Of these patients, 54 died during the course of hospital treatment, 3 other were referred to other hospitals in the state of irreversible apallic syndromes. We did not encounter the reappearance of once abolished somatosensory cortical potentials. It follows from these findings that the bilaterally abolished somatosensory potentials are correlated with a very poor prognosis. In several selected cases the special aspects of patients with circumscript infratentorial lesions are discussed.

摘要

在一项对255例需要重症监护治疗的神经疾病患者的回顾性研究中,研究了双侧皮质正中神经诱发体感诱发电位的预后意义。在57例患者中,我们发现双侧体感诱发电位消失。在这些患者中,54例在住院治疗过程中死亡,另外3例在不可逆的无动性缄默综合征状态下被转至其他医院。我们没有遇到曾经消失的体感皮质电位再次出现的情况。从这些发现可以得出,双侧体感诱发电位消失与非常差的预后相关。在几个选定的病例中,讨论了局限性幕下病变患者的特殊情况。

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