Maeshima S, Funahashi K, Itakura T, Komai N, Dohi N
Department of Neurological Surgery, Wakayama Medical College, Japan.
Arch Phys Med Rehabil. 1994 Feb;75(2):189-92.
Computed topographic electroencephalography (EEG) was performed on patients with right hemispheric injury due to cerebral infarction to investigate the relationship of wave form pattern with neurologic and neuropsychologic data and activities of daily living (ADL). Neurologic signs, unilateral spatial neglect, motor impersistence, and constructional apraxia were found to have no relation to the wave form pattern of computed topographic EEG. In patients with abnormalities detected by the "Mini-Mental State" examination (MMSE) or the "Kanahiroi" test, and in patients with abnormalities in word fluency, extensive slowing of EEG frequency was commonly observed ipsilateral to the side of the lesion or bilaterally, and the ADL were frequently poor. In contrast, among the patients with slow waves and retained alpha waves, the MMSE, "Kana-hiroi" test, word fluency, and ADL were less abnormal. Computed topographic EEG may thus be a useful tool to evaluate neuropsychological status in rehabilitation patients with cerebral infarction.
对因脑梗死导致右半球损伤的患者进行了计算机断层脑电图（EEG）检查，以研究波形模式与神经学、神经心理学数据及日常生活活动（ADL）之间的关系。发现神经体征、单侧空间忽视、运动持续性障碍和结构性失用与计算机断层脑电图的波形模式无关。在通过“简易精神状态检查表”（MMSE）或“假名认知”测试检测出异常的患者中，以及在语言流畅性存在异常的患者中，通常在病变侧或双侧观察到脑电图频率广泛减慢，且日常生活活动能力往往较差。相比之下，在有慢波且保留α波的患者中，MMSE、“假名认知”测试、语言流畅性和日常生活活动能力的异常程度较轻。因此，计算机断层脑电图可能是评估脑梗死康复患者神经心理状态的有用工具。
