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[脑循环功能不全初始表现的肌电图特征]

[Electroneuromyographic characteristics of the initial manifestations of cerebral circulatory insufficiency].

作者信息

Skvortsova V I, Gusev E I, Pankov D D

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1986;86(9):1299-305.

PMID:3776408
Abstract

A clinico-electroneuromyographic examination covered 50 patients with initial manifestations of cerebral circulation insufficiency. The results are compared with the electroneuromyographic characteristics of discirculatory encephalopathy (20 patients), transient disorders of the cerebral circulation (28 patients) and ischemic strokes (30 patients). The parameter of "the sum of maximum amplitudes of M-responses" in the musculi manus and musculi pedis upon stimulation of the median, ulnar, tibial and fibular nerves at both sides developed by the authors was found to be diagnostically effective. This parameter proved to be significantly decreased in all cases of initial manifestations of cerebral circulation insufficiency. With increasing severity of cerebral circulation insufficiency in ischemic stroke the parameter reduced to the minimal values in a step-wise manner.

摘要

一项临床神经肌电图检查涵盖了50例有脑循环功能不全初始表现的患者。将结果与循环障碍性脑病(20例患者)、脑循环短暂性障碍(28例患者)和缺血性中风(30例患者)的神经肌电图特征进行了比较。作者发现,在双侧刺激正中神经、尺神经、胫神经和腓总神经时,手部肌肉和足部肌肉中“M反应最大波幅总和”这一参数具有诊断效力。在脑循环功能不全的所有初始表现病例中,该参数均显著降低。在缺血性中风中,随着脑循环功能不全严重程度的增加,该参数逐步降至最低值。

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