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视觉诱发电位:一种用于监测分流性脑积水患者的非侵入性技术。

Visual evoked potentials: a noninvasive technique to monitor patients with shunted hydrocephalus.

作者信息

Sklar F H, Ehle A L, Clark W K

出版信息

Neurosurgery. 1979 Jun;4(6):529-34. doi: 10.1227/00006123-197906000-00007.

DOI:10.1227/00006123-197906000-00007
PMID:481713
Abstract

Visual evoked potentials (VEPs) to repetitive flash stimuli were abnormal in 10 patients with documented hydrocephalus. Abnormalities included latency delays, fatigability, and asymmetries. Both latency and wave form disturbances improved in the postshunt period. Clinical progression of the hydrocephalus occurred in several patients, and this correlated well with worsening of the VEPs. We suggest that this noninvasive technique may be valuable in following patients with cerebrospinal fluid shunts, patients with presumed "arrested" hydrocephalus, and patients who are being weaned from their shunts.

摘要

在10例确诊为脑积水的患者中,对重复性闪光刺激的视觉诱发电位(VEP)异常。异常表现包括潜伏期延迟、疲劳性和不对称性。分流术后潜伏期和波形紊乱均有所改善。部分患者脑积水出现临床进展,这与VEP恶化密切相关。我们认为,这种非侵入性技术对于随访脑脊液分流患者、推测为“静止性”脑积水的患者以及正在停用分流装置的患者可能具有重要价值。

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J Clin Med. 2019 Sep 27;8(10):1555. doi: 10.3390/jcm8101555.
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Noninvasive methods of detecting increased intracranial pressure.检测颅内压升高的无创方法。
Childs Nerv Syst. 2016 Aug;32(8):1371-86. doi: 10.1007/s00381-016-3143-x. Epub 2016 Jun 28.
3
The light-flash-evoked response as a possible indicator of increased intracranial pressure in hydrocephalus.闪光诱发反应作为脑积水颅内压升高的一种可能指标。
Childs Nerv Syst. 1995 Jul;11(7):381-7; discussion 387. doi: 10.1007/BF00717400.
4
Transient blindness following intracranial pressure changes in a hydrocephalic child with a V-P shunt.
Childs Nerv Syst. 1987;3(6):379-81. doi: 10.1007/BF00270713.
5
Visual evoked potentials, intracranial pressure and ventricular size in hydrocephalus.脑积水患者的视觉诱发电位、颅内压和脑室大小
Doc Ophthalmol. 1987 Aug;66(4):321-9. doi: 10.1007/BF00213660.