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腔隙性脑梗塞患者45例显著性概率图
引用本文:王薇薇,吴逊.腔隙性脑梗塞患者45例显著性概率图[J].北京大学学报(医学版),1996(5).
作者姓名:王薇薇  吴逊
作者单位:北京医科大学第一医院神经内科
摘    要:目的:探讨显著性概率图在腔隙性脑梗塞诊断中的意义。方法:45例病人与对照组的定量脑电图的各频段间各个部位一一作Z转换。结果:CT证实的30例单发性腔隙性脑梗塞中,22例显著性概率图为限局性异常,而EEG仅5例异常(P<0.05),异常表现是慢波功率增高。22例中13例限局性异常部位与CT提示的病灶部位基本相符。结论:腔隙性脑梗塞患者进行显著性概率图的检查能够发现远隔部位的功能异常,其敏感性优于EEG及脑电位分布图。

关 键 词:脑梗塞,腔隙性/病理生理学,脑电描记术,显著性概率图

SIGNIFICANCE PROBABILITY MAPPING IN 45 PATIENTS WITH LACUNA INFACT
WANG Weiwei,WU Xun.SIGNIFICANCE PROBABILITY MAPPING IN 45 PATIENTS WITH LACUNA INFACT[J].Journal of Peking University:Health Sciences,1996(5).
Authors:WANG Weiwei  WU Xun
Abstract:Objective:To find out the implications of significance probability mapping (SPM) in patients with lacuna infarct.Methods:QEEGs of 45 patients were compared with mean power of different fre-quency bands of the healthy control group by Z transform, Results:30 patients were with one focus of lacuna infarct and 15 patients multiple foci verified by CT scan. 30 patients were with one focus,and the focal abnormality was found by SPM in 22 cases,but only 5 cases by EEGs(P<0.05).Both general and focal abnormalities in the predominant findings were the increased power of slow frequency band.In 13 cases the focal abnormalities were basically in correspodence with the localization verified by CT scan,Conclusion:SPM could be helpful to discover the remote dysfunction of cortex,The sensitivity of SPM was better than the EEG and BEAM.
Keywords:Cerebral infarction  Lacuna/physiopathology  Electroencephalography  Significance proba-bility mapping
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