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[短暂性脑循环障碍的流变学和脑电图研究]

[Rheo- and electroencephalographic studies in transient cerebral circulatory disorders].

作者信息

Raĭchev I R

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1982;82(1):52-5.

PMID:7064605
Abstract

Dynamic examinations of 83 patients with transitory cerebral circulation disturbances and 40 healthy subjects (control group) were carried out in clinical conditions. Rheoencephalograms were recorded using frontomastoid, bitemporal, and bimastoid leads. Electroencephalograms were recorded on a 12-channel electroencephalograph. The EEGs were recorded within a period from the 8th to the 15th day since the appearance of the transitory neurological symptoms, while the REGs were registered within a year after the subsidence of the transitory disturbances. The following REG parameters were analyzed: amplitude, anacrotism duration (in seconds and per cent) dicrotic index, time of rheographic wave spreading, hemispheric circulation time, hemispheric blood flow. A comparison of the bioelectric activity changes with the cerebral flow level calculated from the REG data pointed to an interdependence of both parameters and a parallelism in their changes. This could be explained by retention of the relations between the blood flow and the cerebral functions in the patients with the transitory cerebral circulation disturbances. A dynamic analysis of the quantitative REG parameters showed that the pathological changes of the cerebral blood flow persisted for a long time after the subsidence of the transitory disturbances of the cerebral circulation and normalization of the neurological status. This is an evidence of the relative character of the notion transitory cerebral circulation disturbances which reflects only the evolution of the clinical manifestations, but ignores the duration of the changes in the cerebral hemodynamics.

摘要

在临床条件下,对83例短暂性脑循环障碍患者和40名健康受试者(对照组)进行了动态检查。使用额乳突导联、双颞导联和双乳突导联记录脑血流图。在12通道脑电图仪上记录脑电图。脑电图在短暂性神经症状出现后的第8天至第15天内记录,而脑血流图在短暂性障碍消退后的一年内记录。分析了以下脑血流图参数:振幅、升支持续时间(以秒和百分比表示)、重搏波指数、血流图波传播时间、半球循环时间、半球血流量。将生物电活动变化与根据脑血流图数据计算出的脑血流水平进行比较,结果表明这两个参数相互依存,且变化具有平行性。这可以用短暂性脑循环障碍患者的血流与脑功能之间的关系得以保留来解释。对脑血流图定量参数的动态分析表明,在短暂性脑循环障碍消退且神经状态恢复正常后,脑血流的病理变化仍持续很长时间。这证明了短暂性脑循环障碍这一概念的相对性,它仅反映了临床表现的演变,却忽略了脑血流动力学变化的持续时间。

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