Sharova E V, Oknina L B, Potapov A A, Zaĭtsev O S, Masherov E L, Kulikov M A
Institute of Higher Nervous Activity and Neurophysiology, Russian Academy of Sciences, Moscow.
Zh Vyssh Nerv Deiat Im I P Pavlova. 1998 Jul-Aug;48(4):719-30.
The dynamic studies of P300 component of the acoustic evoked potential were conducted in 12 patients in posttraumatic state of the autonomic system. The amplitude and time parameters of P300 were analyzed, its spatial distribution over the cortex, and features of generation. The obtained results were compared with the normative data. Significant changes in P300 in comparison with the normal characteristics were revealed in patients with the absence of conscious mental activity. These changes were maximally expressed when the state of patients was irreversible. In case of patients' outcome from the studied state the amplitude-temporal and topographic response characteristics tended to normalization but did not reach it completely. The obtained results allow us to consider the P300 component as one of the most informative indices in consciousness recovery after severe brain injury.
对12例处于自主神经系统创伤后状态的患者进行了听觉诱发电位P300成分的动态研究。分析了P300的振幅和时间参数、其在皮质上的空间分布以及产生特征。将所得结果与正常数据进行比较。在无意识心理活动的患者中,发现P300与正常特征相比有显著变化。当患者状态不可逆时,这些变化表现得最为明显。在患者从研究状态恢复的情况下,振幅-时间和地形学反应特征趋于正常化,但未完全达到正常水平。所得结果使我们能够将P300成分视为重度脑损伤后意识恢复中最具信息价值的指标之一。