[肿瘤和创伤后脑损伤患者手臂的体感诱发电位图]。

Rivista di neurologia Pub Date : 1991-11-01
C Paradiso, V Caruso, S Rossi, R Cioni, S Passero, F Giannini, R Ravenni, N Battistini
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引用次数: 0

摘要

6例患者(4例脑肿瘤患者和2例创伤后病变患者)通过刺激腕部正中神经记录了短潜伏期体感诱发电位。电极按照10-20国际系统放置在头皮上。参考电极放置在刺激部位对侧的耳垂上。11名正常受试者作为对照(平均年龄64.4±12.05)。我们使用脑-测量师-基础贸易系统,这使我们能够通过信号幅度的线性插值,通过彩色映射来详细说明结果。研究了以下参数:N13、N20、P22、N30波的峰值潜伏期;P14-N20、N20-P25、P22-N30各组件的幅值和中心导通时间N13-N20 (CCT)。潜伏期的评估在确定病变部位方面没有意义。相反,振幅的评估显示了表达的不对称性,尽管它没有定义改变的性质(由于病变增加或减少),以及这些变化与病变部位之间的相关性。作者讨论了肿瘤患者振幅异常与肿瘤和/或药物作用有关的可能性。
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[Maps of somatosensory evoked potentials from the arm in patients with neoplasms and post-traumatic brain lesions].

Short-latency somatosensory evoked potentials by the stimulation of the median nerve at the wrist, were recorded in six patients (four with cerebral tumors and two with post-trauma lesions). The electrodes were placed on the scalp following the 10-20 International System. A reference electrode was placed on earlobe contralateral to the site of the stimulation. Eleven normal subjects were used as control (mean age 64.4 +/- 12.05). We used the Brain-Surveyor-Basis Trade system which allowed us to elaborate the results by coloured mapping through linear interpolation of signal amplitudes. The following parameters were investigated: peak latencies of the N13, N20, P22, N30 waves; amplitudes of the post-rolandic P14-N20, N20-P25, pre-rolandic P22-N30 components and the central conduction time N13-N20 (CCT). The evaluation of latencies was not significant in determining the lesion site. On the contrary, the evaluation of amplitudes revealed expressive asymmetry, though it did not define the nature of alteration (increase or decrease due to lesion), and the correlation between these variations and the site of the lesion. The authors discussed the possibility that amplitude abnormalities in patients with tumors were related either to the tumors and/or drug effects.

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