Sumskiĭ L I
Zh Nevropatol Psikhiatr Im S S Korsakova. 1984;84(9):1300-8.
Up to now there has been a general consensus in the literature that the development of the comatose state is attended with the appearance on the EEG of high amplitude slow activity. The article shows that the acute period of coma is not always associated with this regularity. A large part of the EBG presents low amplitude irregular activity with occasional rapid fluctuations. In some cases there are phenomena characteristic of the physiological nocturnal sleep. The data obtained make it possible to consider the role of different synchronizing and desynchronizing cerebral systems in the genesis of electrical activity in the period of coma and are of certain interest in terms of studying the neurophysiological mechanisms of comatose states.
到目前为止,文献中已达成普遍共识,即昏迷状态的发展伴随着脑电图上高幅慢活动的出现。本文表明,昏迷急性期并不总是符合这一规律。大部分脑电图呈现低幅不规则活动,偶尔有快速波动。在某些情况下,会出现生理性夜间睡眠的特征现象。所获得的数据使我们能够考虑不同的大脑同步和去同步系统在昏迷期电活动发生过程中的作用,并且在研究昏迷状态的神经生理机制方面具有一定的意义。