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脑电图在急性血管性失语中的预后价值:对53例患者的长期临床脑电图研究

Prognostic value of EEG in acute vascular aphasia: a long term clinical-EEG study of 53 patients.

作者信息

Jabbari B, Maulsby R L, Holtzapple P A, Marshall N K

出版信息

Clin Electroencephalogr. 1979 Oct;10(4):190-7. doi: 10.1177/155005947901000403.

DOI:10.1177/155005947901000403
PMID:498548
Abstract

A group of 53 patients rendered acutely aphasic by occlusive cerebrovascular disease were studied by serial EEG's, repeated neurologic examinations and speech evaluations (Porch Index of Communicative Ability) over a period of eight to twenty-four months, in order to correlate EEG findings with the degree of language disorder and prognosis for language recovery. Normal and mildly abnormal EEG's, posterior slow foci, focal slowing of semirhythmic type and higher alpha frequencies over the intact hemisphere correlated with good language recovery. In the majority of the patients, the curves of "EEG Improvement" and "Language Recovery" closely paralleled each other. These data indicate that the EEG is of prognostic value as to recovery from aphasia in patients suffering from acute occlusive cerebrovascular disease. Despite the advent of newer diagnostic tests, such as CAT scan, which has established its value in evaluation of the anatomy of aphasia, (9) EEG remains to be useful as a tool that could predict the outcome of aphasia in stroke patients.

摘要

一组因闭塞性脑血管疾病而急性失语的53名患者,在8至24个月的时间里,通过系列脑电图、反复的神经学检查和言语评估(交际能力的波奇指数)进行了研究,以便将脑电图结果与语言障碍程度及语言恢复预后相关联。正常和轻度异常脑电图、后部慢波灶、半节律型局灶性慢波以及健侧半球较高的α频率与良好的语言恢复相关。在大多数患者中,“脑电图改善”曲线和“语言恢复”曲线密切平行。这些数据表明,脑电图对于急性闭塞性脑血管疾病患者失语症的恢复具有预后价值。尽管出现了更新的诊断测试,如计算机断层扫描(CAT扫描),其在失语症解剖学评估中的价值已得到确立,但脑电图作为一种能够预测中风患者失语症预后的工具仍然有用。

相似文献

1
Prognostic value of EEG in acute vascular aphasia: a long term clinical-EEG study of 53 patients.脑电图在急性血管性失语中的预后价值:对53例患者的长期临床脑电图研究
Clin Electroencephalogr. 1979 Oct;10(4):190-7. doi: 10.1177/155005947901000403.
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Prognostic relevance of quantitative topographical EEG in patients with poststroke aphasia.脑卒中后失语症患者定量脑地形图的预后相关性
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Left-hemispheric abnormal EEG activity in relation to impairment and recovery in aphasic patients.失语症患者左半球脑电图异常活动与损伤及恢复的关系。
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Prospective and retrospective studies of recovery in aphasia. Changes in cerebral blood flow and language functions.失语症恢复的前瞻性和回顾性研究。脑血流量和语言功能的变化。
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The Prognostic Utility of Electroencephalography in Stroke Recovery: A Systematic Review and Meta-Analysis.
脑电图在脑卒中康复中的预后价值:系统评价和荟萃分析。
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Electroencephalogram (EEG) With or Without Transcranial Magnetic Stimulation (TMS) as Biomarkers for Post-stroke Recovery: A Narrative Review.脑电图(EEG)联合或不联合经颅磁刺激(TMS)作为中风后恢复的生物标志物:一项叙述性综述
Front Neurol. 2022 Feb 22;13:827866. doi: 10.3389/fneur.2022.827866. eCollection 2022.