Van de Kelft E, Candon E, Couchet P, Frèrebeau P, Daures J P
Department of Neurosurgery, Universitair Ziekenhuis Antwerpen, Belgium.
Acta Neurol Belg. 1995;95(2):88-91.
Recovery of consciousness after acute brain injury is a remarkable phenomenon, yet, not completely understood. We describe the early clinical stages of recovery of consciousness in 48 selected patients by means of different items of the Glasgow Coma and Liege Coma Scales. Arousal, expressed by the stimulated opening of the eyes (E2) was correlated with the appearance of the localizing pain response (M5), with the capacity to obey commands (M6), with the opening of the eyes (E4) and with the blink reflex (R5). This study confirms the classical clinical sequence of arousal and recovery of consciousness characterized by the consecutive appearance of E2, R5, E4, M5 and M6. When the appearance of E2 and R5 are considered separately, we noticed a significant difference, suggesting different structural and functional brain recovery processes.
急性脑损伤后意识恢复是一个显著的现象，但尚未完全被理解。我们通过格拉斯哥昏迷量表和列日昏迷量表的不同项目描述了48例选定患者意识恢复的早期临床阶段。由刺激睁眼（E2）所表达的觉醒与定位性疼痛反应（M5）的出现、服从指令的能力（M6）、睁眼（E4）以及眨眼反射（R5）相关。本研究证实了以E2、R5、E4、M5和M6的相继出现为特征的觉醒和意识恢复的经典临床序列。当分别考虑E2和R5的出现时，我们注意到有显著差异，这表明大脑的结构和功能恢复过程不同。
