诱发电位和脑干反射。

Evoked potentials and brain stem reflexes.

作者信息

Klug N, Csécsei G S

出版信息

Neurosurg Rev. 1985;8(1):63-84. doi: 10.1007/BF01744879.

Abstract

The recording of evoked potentials (EPs) has become one of the most useful functional diagnostic techniques in the neurosciences during recent years. In combination with the neurophysiological investigation of brain stem reflexes (BSRs) EPs provide good information concerning circumscribed and diffuse brain and brain stem lesions. In this article the role of EPs and BSRs will be pointed out with special regard to their use in neurosurgery concerning awake and comatose patients as well. Pathological findings caused by extracerebral factors or due to neurological (systemic) and otological diseases will be discussed from the aspect of differential diagnosis only. Evoked potentials described in this paper are short latency potentials which are related to more or less defined generators in the peripheral and central nervous system. EPs of long latency seem to play a role in cognitive, affective and integrative functions of the central nervous system and they will not be dealt with in this article. In recent years an increasing number of review articles and monographs dealing with several aspects of evoked potentials has appeared [16, 17, 18, 25, 69, 80, 84, 122, 123, 124, 127, 130].

摘要

近年来，诱发电位（EP）记录已成为神经科学中最有用的功能诊断技术之一。诱发电位与脑干反射（BSR）的神经生理学研究相结合，可为局限性和弥漫性脑及脑干病变提供良好的信息。在本文中，将指出诱发电位和脑干反射的作用，特别关注它们在神经外科手术中对清醒和昏迷患者的应用。仅从鉴别诊断的角度讨论由脑外因素或神经（全身）及耳科疾病引起的病理结果。本文所述的诱发电位是短潜伏期电位，与外周和中枢神经系统中或多或少明确的发生器有关。长潜伏期诱发电位似乎在中枢神经系统的认知、情感和整合功能中起作用，本文将不涉及。近年来，出现了越来越多涉及诱发电位多个方面的综述文章和专著[16, 17, 18, 25, 69, 80, 84, 122, 123, 124, 127, 130]。