缺氧性昏迷中早期体感诱发电位（SEP）和听觉诱发电位（AEP）：预后价值

[Early somatosensory (SEP) and auditory (AEP) evoked potentials in anoxic coma: prognostic value].

作者信息

Sonnet M L, Perrot D, Floret D, Bouffard Y, Godard J, Garde P, Motin J

机构信息

Service d'exploration fonctionnelle du système nerveux central, hôpital Edouard-Herriot, Lyon, France.

出版信息

Neurophysiol Clin. 1993 May;23(2-3):227-36. doi: 10.1016/s0987-7053(05)80232-1.

DOI:10.1016/s0987-7053(05)80232-1

PMID:8326932

Abstract

Early somatosensory (SEP) and auditory (BAEP) evoked potentials, when recorded within the first seven days of the course of anoxic coma, appear to be reliable to evaluate anoxic ischemic cortical or under-cortical lesions. Prognosis depends especially on cortical SEP (N20-P25): the lack of SEP is a good outcome predictor of death (abnormal BAEP) or of vegetative status (normal BAEP); the presence of normal and bilateral cortical SEP (with normal BAEP) allows to predict awakening, without prejudging of neurologic sequelae, even if they are severe.

摘要

在缺氧性昏迷病程的头七天内记录的早期体感诱发电位（SEP）和听觉诱发电位（BAEP），似乎可用于可靠地评估缺氧缺血性皮质或皮质下病变。预后尤其取决于皮质SEP（N20-P25）：SEP缺失是死亡（BAEP异常）或植物状态（BAEP正常）的良好预后指标；双侧皮质SEP正常（BAEP正常）可预测患者苏醒，即使存在严重神经后遗症也不影响这一判断。