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[长期昏迷后意识恢复过程中人类大脑的半球关系:脑电图分析]

[The hemispheric relationships of the human brain during the recovery of consciousness after a long-term coma: an EEG analysis].

作者信息

Dobronravova I S

机构信息

Institute of Higher Nervous Activity and Neurophysiology, Russian Academy of Sciences, Moscow.

出版信息

Zh Vyssh Nerv Deiat Im I P Pavlova. 1998 Jul-Aug;48(4):697-706.

PMID:9778813
Abstract

Analysis of the intra- and interhemispheric EEG coherence in the dynamics of coma regress and its comparison with the clinical stages of postcomatose recovery period revealed both specific interhemispheric rearrangements of the structure of intercentral functional relations, which developed in parallel with the recovery at first of the visual, and then speech functions, and the adaptive-compensatory changes in activity of the regulatory systems, which provide the recovery of mental functions. It is emphasized that the interhemispheric EEG coherence asymmetry, its character and dynamics are significant for formation of neurophysiological mechanisms of consciousness and the course of compensatory processes under the extreme conditions.

摘要

分析昏迷消退动态过程中的半球内和半球间脑电图连贯性,并将其与昏迷后恢复期的临床阶段进行比较,结果显示,随着视觉功能首先恢复,然后言语功能恢复,中央间功能关系结构出现了特定的半球间重新排列,同时调节系统活动发生了适应性补偿变化,这些变化促使心理功能得以恢复。需要强调的是,半球间脑电图连贯性不对称性及其特征和动态变化对于意识神经生理机制的形成以及极端条件下代偿过程的进程具有重要意义。

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