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[节段性运动神经元在威尔逊 - 科诺瓦洛夫肝脑变性中的作用]

[The function of the segmental motoneurons in Wilson-Konovalov's hepatocerebral dystrophy].

作者信息

Starikov A S

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 1996;96(3):72-5.

PMID:8992842
Abstract

12 patients were examined by means of stimulative electromyography. Chronaximetric studies were carried out in 18 patients. The maximal amplitude of H-potential revealed the decrease of reflex excitability of the motoneurons pool. The stimulus value which is necessary for evoking H-reflex of liminal size testified the high reflex excitability of some alpha-motoneurons part. These motoneurons may take part in hyperkinesis development. The direct electrical excitability of motor units was elevated that was confirmed by motor response values. The motor analyzer functional rearrangement was revealed after stereotaxic operations as evidenced by dynamics of H-reflex and M-response parameters.

摘要

通过刺激肌电图对12例患者进行了检查。对18例患者进行了时值测定研究。H波电位的最大幅度显示运动神经元池的反射兴奋性降低。诱发阈下大小H反射所需的刺激值证明了部分α运动神经元的高反射兴奋性。这些运动神经元可能参与运动亢进的发生。运动单位的直接电兴奋性升高,这由运动反应值得到证实。立体定向手术后发现运动分析器功能重新排列,H反射和M反应参数的动态变化证明了这一点。

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