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[摆动样眼动节律及其他肌肉的肌节律对缺氧后大脑皮质功能恢复预后的价值]

[Value of pendulum-like oculonyorhythms and myorhythms of other muscles for prognosis of restoration of cerebral cortical function following hypoxia].

作者信息

Negovskiĭ V A, Kiseleva A M

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1976;76(7):961-6.

PMID:961296
Abstract

In clinical and EEG studies of 92 patients where the preterminal and terminal states were arrested it was possible to demonstrate that the phenomenon of a spontaneous discharge of pendulum-like oculomyorhythms and myorhythms of the orbital muscles is a significantly negative sign pointing to irreversible cortical lesion. Conditioned by oculomyorhythm the artefacts seen in the EEG of comatose patients simulate an intactness of the brain electroactivity and are a source of an erroneous evaluation of the EEG.

摘要

在对92例患者进行的临床和脑电图研究中,这些患者的临终前期和末期状态均已停止,结果表明,摆动样眼球肌节律和眶肌肌节律的自发放电现象是一个显著的阴性体征,表明存在不可逆的皮质病变。受眼球肌节律影响,昏迷患者脑电图中出现的伪迹模拟了脑电活动的完整性,是对脑电图进行错误评估的一个来源。

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