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[丘脑核团冷冻手术对体感诱发电位的影响]

[Effect of cryosurgery of the thalamic nuclei on somatosensory evoked potentials].

作者信息

Mempel E, Tarnecki R, Kuciński L, Ligezińska B, Pawłowski G

出版信息

Neurol Neurochir Pol. 1984 Sep-Oct;18(5):453-8.

PMID:6098840
Abstract

Somatosensory evoked potentials were recorded in two groups of patients with extrapyramidal syndromes including: 1) parkinsonian syndromes, 2) spasmodic torticollis. In the first group stereotactic lesions were produced at the borderline between VOp and Vim nuclei, and in the second group they were situated in VOa and VOi thalamic nuclei. Short-latency components of the potentials were analysed assuming that they were the specific parts of the somatosensory potential and their value was doubtless, in contrast to the late latency components. It was found that stereotaxic lesions the VOa and VOp thalamic nuclei caused no disappearance of the short-latency potentials but reduced their amplitude. In cases with oscillation potentials recorded before the operation, they disappeared after the operation and this disappearance was correlated with clinical improvement.

摘要

在两组锥体外系综合征患者中记录体感诱发电位,这些患者包括:1)帕金森综合征,2)痉挛性斜颈。在第一组中,立体定向损伤位于腹后外侧核(VOp)和腹中间核(Vim)之间的边界处,而在第二组中,损伤位于丘脑腹前核(VOa)和丘脑腹中间核(VOi)。假定短潜伏期成分是体感电位的特定部分且其值无疑,对电位的短潜伏期成分进行了分析,这与长潜伏期成分形成对比。结果发现,丘脑腹前核(VOa)和腹后外侧核(VOp)的立体定向损伤并未导致短潜伏期电位消失,但降低了其振幅。在术前记录到振荡电位的病例中,术后振荡电位消失,且这种消失与临床改善相关。

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