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新生儿神经学评估中的多模态诱发反应。

Multimodality evoked responses in the neurological assessment of the newborn.

作者信息

Mercuri E, von Siebenthal K, Daniëls H, Guzzetta F, Casaer P

机构信息

Department of Paediatrics, University Hospital Gasthuisberg, Leuven, Belgium.

出版信息

Eur J Pediatr. 1994 Sep;153(9):622-31. doi: 10.1007/BF02190680.

Abstract

In recent years increased attention has been devoted to evoked potentials (EP) in newborns. This paper reviews the literature and data from our research group in an attempt to assess the diagnostic and prognostic value of evoked responses in the first weeks of life and their use in different age-specific clinical conditions. The results show that EP are a very sensitive measure of the integrity of the sensory pathways. They make it possible to follow normal physiological maturation and the abnormalities of development resulting from neurological lesions. Repeated measurements of visual evoked potentials and somatosensorial evoked potential are prognostically useful in term infants, but seem much more limited in preterm newborns in predicting neurodevelopmental outcome.

摘要

近年来,新生儿诱发电位(EP)受到了越来越多的关注。本文回顾了文献以及我们研究小组的数据,试图评估出生后第一周内诱发反应的诊断和预后价值,以及它们在不同年龄特异性临床情况下的应用。结果表明,诱发电位是感觉通路完整性的非常敏感的指标。它们使得追踪正常生理成熟过程以及神经损伤导致的发育异常成为可能。对视诱发电位和体感诱发电位的重复测量对足月儿的预后评估有用,但在预测早产儿神经发育结局方面似乎作用更为有限。

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