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昏迷患者的听觉脑干反应:与脑干反射及昏迷程度的关系。

Auditory brain-stem responses in comatose patients: relationship with brain-stem reflexes and levels of coma.

作者信息

Uziel A, Benezech J

出版信息

Electroencephalogr Clin Neurophysiol. 1978 Oct;45(4):515-24. doi: 10.1016/0013-4694(78)90295-x.

DOI:10.1016/0013-4694(78)90295-x
PMID:81753
Abstract

Auditory brain-stem responses (BSR) were recorded in 20 comatose patients in whom the level of brain-stem dysfunction was defined by clinical assessment of brain-stem reflexes and posture. No BSR abnormalities were found in the 10 cases with cortico-subcortical or diencephalic levels. The other 10 patients showed a clear relationship between alteration of the different components of the BSR and the clinical levels of brain-stem dysfunction caused by the rostro-caudal evolution. Alteration of wave P5 seems related to a midbrain dysfunction, of P3 to a pontine dysfunction and of P1 or P2 to a lower brain-stem dysfunction.

摘要

对20名昏迷患者进行了听觉脑干反应(BSR)记录,这些患者的脑干功能障碍程度通过对脑干反射和姿势的临床评估来确定。在10例皮质-皮质下或间脑水平的病例中未发现BSR异常。另外10例患者显示,BSR不同成分的改变与由头端-尾端进展引起的脑干功能障碍的临床水平之间存在明显关系。P5波的改变似乎与中脑功能障碍有关,P3波的改变与脑桥功能障碍有关,P1或P2波的改变与低位脑干功能障碍有关。

相似文献

1
Auditory brain-stem responses in comatose patients: relationship with brain-stem reflexes and levels of coma.昏迷患者的听觉脑干反应:与脑干反射及昏迷程度的关系。
Electroencephalogr Clin Neurophysiol. 1978 Oct;45(4):515-24. doi: 10.1016/0013-4694(78)90295-x.
2
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A physiological coma scale: grading of coma by combined use of brain-stem trigeminal and auditory evoked potentials and the Glasgow Coma Scale.一种生理昏迷量表:通过联合使用脑干三叉神经和听觉诱发电位以及格拉斯哥昏迷量表对昏迷进行分级。
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Arch Otorhinolaryngol. 1983;238(1):33-43. doi: 10.1007/BF00453739.
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引用本文的文献

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Predictive value of brain-stem auditory evoked potentials in children with post-traumatic coma produced by diffuse brain injury.脑干听觉诱发电位对弥漫性脑损伤所致创伤后昏迷儿童的预测价值。
Childs Nerv Syst. 1995 Jul;11(7):400-5. doi: 10.1007/BF00717405.
2
The progress of adrenoleukodystrophy as revealed by auditory brainstem evoked responses and brainstem histology.
Arch Otorhinolaryngol. 1980;228(1):17-27. doi: 10.1007/BF00455890.
3
A study of cases with partial disappearance of the waves in the auditory brain stem response.
Arch Otorhinolaryngol. 1980;226(4):251-8. doi: 10.1007/BF00455586.
4
Assessment of brainstem damage by the auditory brainstem response in acute severe head injury.急性重型颅脑损伤中通过听觉脑干反应评估脑干损伤
J Neurol Neurosurg Psychiatry. 1980 Nov;43(11):1005-11. doi: 10.1136/jnnp.43.11.1005.
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The effect of thiopentone on somatosensory evoked responses and EEGs in comatose patients.硫喷妥钠对昏迷患者体感诱发电位和脑电图的影响。
J Neurol Neurosurg Psychiatry. 1983 Jun;46(6):509-14. doi: 10.1136/jnnp.46.6.509.
6
Evaluation of the brain-stem function by the auditory brain-stem response and the caloric vestibular reaction in comatose patient.通过听觉脑干反应和冷热试验前庭反应评估昏迷患者的脑干功能。
Arch Otorhinolaryngol. 1983;238(1):33-43. doi: 10.1007/BF00453739.
7
Drug-induced alpha coma.药物性α昏迷。
J Neurol Neurosurg Psychiatry. 1985 Mar;48(3):283-4. doi: 10.1136/jnnp.48.3.283.
8
Effects of an expanding supratentorial mass on the auditory brain-stem responses in baboons.
Acta Neurochir (Wien). 1986;79(2-4):132-8. doi: 10.1007/BF01407457.
9
Evoked potentials and brain stem reflexes.诱发电位和脑干反射。
Neurosurg Rev. 1985;8(1):63-84. doi: 10.1007/BF01744879.
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Serial recordings of auditory brainstem responses in severe head injury: relationship between test timing and prognostic power.重型颅脑损伤患者听觉脑干反应的系列记录:检测时机与预后预测能力之间的关系。
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