重度创伤性昏迷中的瞬目反射
Blink reflexes in severe traumatic coma.
作者信息
Buonaguidi R, Rossi B, Sartucci F, Ravelli V
出版信息
J Neurol Neurosurg Psychiatry. 1979 May;42(5):470-4. doi: 10.1136/jnnp.42.5.470.
Abstract
Blink reflexes were studied in 21 patients in coma after severe head injury. Our observations suggest that blink reflexes are a simple, objective, neurophysiological test to evaluate brainstem function. Correlations between these reflexes and the anatomoclinical stanges of coma and the Glasgow coma scale have been established. Presence of the early R1 component shows the integrity of at least a part of the pontine structures. The appearance of the late R2 component is correlated with a better chance of recovery from coma.
摘要
对21例重度颅脑损伤昏迷患者进行了瞬目反射研究。我们的观察结果表明，瞬目反射是一种评估脑干功能的简单、客观的神经生理学测试。已经建立了这些反射与昏迷的解剖临床分期和格拉斯哥昏迷量表之间的相关性。早期R1成分的存在表明脑桥结构至少有一部分是完整的。晚期R2成分的出现与昏迷恢复的较好机会相关。
相似文献
1
Blink reflexes in severe traumatic coma.重度创伤性昏迷中的瞬目反射
J Neurol Neurosurg Psychiatry. 1979 May;42(5):470-4. doi: 10.1136/jnnp.42.5.470.
2
Head injury prognosis: calculations from clinical data.头部损伤预后：根据临床数据进行的计算
Acta Neurochir Suppl (Wien). 1979;28(1):165-70. doi: 10.1007/978-3-7091-4088-8_40.
3
Blink reflexes in posterior fossa lesions.后颅窝病变中的瞬目反射
J Neurol Neurosurg Psychiatry. 1979 May;42(5):465-9. doi: 10.1136/jnnp.42.5.465.
4
Prognostic factors in acute head injuries brain stem contusion during the first week.急性头部损伤后第一周脑干挫伤的预后因素
Acta Neurochir Suppl (Wien). 1979;28(1):153-7. doi: 10.1007/978-3-7091-4088-8_37.
5
[Mesodiencephalic level of severe head injuries (author's transl)].
Neurochirurgie. 1978;24(1):33-6.
6
The blink reflex in coma and after recovery from coma.
Acta Neurochir (Wien). 1976;34(1-4):79-97. doi: 10.1007/BF01405865.
7
Calculated recovery rates in severe head trauma.
Neurosurgery. 1981 Mar;8(3):301-8. doi: 10.1227/00006123-198103000-00001.
8
The prognostic significance of traumatic brainstem injury detected on T2-weighted MRI.T2 加权 MRI 检测外伤性脑干损伤的预后意义。
J Neurosurg. 2012 Oct;117(4):722-8. doi: 10.3171/2012.6.JNS111736. Epub 2012 Aug 3.
9
[A prognostic appraisal in acute stage of severe head injury--with repeat CT examination and sequential evaluation of Glasgow coma scale].
No To Shinkei. 1983 May;35(5):489-99.
10
[Practical assessment of brain dysfunction in severe head trauma (author's transl)].严重颅脑外伤中脑功能障碍的实际评估（作者译）
Neurochirurgie. 1982;28(1):1-7.
引用本文的文献
1
Brainstem dysfunction in critically ill patients.危重病患者的脑干功能障碍。
Crit Care. 2020 Jan 6;24(1):5. doi: 10.1186/s13054-019-2718-9.
2
Electromyographic evaluation of blink reflex as a tool for early diagnosis of neurological dysfunction in patients of hypothyroidism.将眨眼反射的肌电图评估作为甲状腺功能减退症患者神经功能障碍早期诊断工具的研究
Ann Neurosci. 2013 Jul;20(3):95-8. doi: 10.5214/ans.0972.7531.200304.
3
Methodological considerations in the neuropsychological study of central nervous system underarousal with a specific emphasis on coma.
Neuropsychol Rev. 1998 Dec;8(4):191-201. doi: 10.1023/a:1021670203013.
4
Effect of increased intracranial pressure on the blink reflex in cats.颅内压升高对猫瞬目反射的影响。
Acta Neurochir (Wien). 1983;68(1-2):85-92. doi: 10.1007/BF01406204.
5
The acoustic blink reflex: stimulus dependence, excitability and localizing value.
J Neurol. 1981;224(4):243-52. doi: 10.1007/BF00313287.
6
Evoked potentials and brain stem reflexes.诱发电位和脑干反射。
Neurosurg Rev. 1985;8(1):63-84. doi: 10.1007/BF01744879.
本文引用的文献
1
RESUSCITATION TREATMENT OF THE DIFFERENT DEGREES OF UNCONSCIOUSNESS.不同程度昏迷的复苏治疗
Acta Neurochir (Wien). 1964;12:352-65. doi: 10.1007/BF01402103.
2
Reflex blepharospasm.反射性睑痉挛
Neurology. 1963 Jan;13:77-8. doi: 10.1212/wnl.13.1.77.
3
[Facial reflexes].[面部反射]
Brain. 1952 Sep;75(3):385-96. doi: 10.1093/brain/75.3.385.
4
The human blink reflex.人类眨眼反射。
J Neurol Neurosurg Psychiatry. 1970 Dec;33(6):792-800. doi: 10.1136/jnnp.33.6.792.
5
Alteration of the orbicularis oculi reflex by pontine lesions. Study in multiple sclerosis.脑桥病变对眼轮匝肌反射的影响。多发性硬化症研究。
Arch Neurol. 1970 Feb;22(2):156-61. doi: 10.1001/archneur.1970.00480200062006.
6
Electrodiagnostic study of brainstem strokes.脑干卒中的电诊断研究
Stroke. 1971 Nov-Dec;2(6):576-86. doi: 10.1161/01.str.2.6.576.
7
[Behavior of trigemino-facial reflexes in subjects with hemispheric lesions].[半球病变患者的三叉神经-面部反射行为]
Riv Neurol. 1973 Nov-Dec;43(6):379-86.
8
Assessment of coma and impaired consciousness. A practical scale.昏迷与意识障碍评估。实用量表。
Lancet. 1974 Jul 13;2(7872):81-4. doi: 10.1016/s0140-6736(74)91639-0.
9
Persistent vegetative state after brain damage. A syndrome in search of a name.脑损伤后的持续性植物状态。一种有待命名的综合征。
Lancet. 1972 Apr 1;1(7753):734-7. doi: 10.1016/s0140-6736(72)90242-5.
10
The blink reflex in coma and after recovery from coma.
Acta Neurochir (Wien). 1976;34(1-4):79-97. doi: 10.1007/BF01405865.
Zotero 插件