体感诱发电位和磁共振弥散加权成像在急性脑梗死中的应用 |
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引用本文: | 徐秋霜,段宏伟,刘青蕊,高秋爽. 体感诱发电位和磁共振弥散加权成像在急性脑梗死中的应用[J]. 脑与神经疾病杂志, 2008, 16(4): 397-400 |
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作者姓名: | 徐秋霜 段宏伟 刘青蕊 高秋爽 |
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作者单位: | 河北医科大学第四医院神经内科,石家庄,050011;河北医科大学第四医院神经内科,石家庄,050011;河北医科大学第四医院神经内科,石家庄,050011;河北医科大学第四医院神经内科,石家庄,050011 |
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摘 要: | 目的:探讨弥散加权成像和躯体感觉诱发电位在脑梗死中的应用价值。方法:对71例急性脑梗死患者进行常规MRI、DWI及SEPs检查,在入院及发病2个月时对患者进行NIHSS评分,并对各项指标进行分析。结果:71例患者中,SEPs异常者46例(64.79%);三组患者NIHSS1及NIHSS2评分组间两两比较均有差异。DWI阳性率明显高于常规MRI;梗死体积与患者的NIHSS呈正相关关系。结论:SEPs结合DWI检查,能对急性脑梗死做出早期诊断,并对早期判断病情程度、评估预后提供客观依据。
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关 键 词: | 急性脑梗死 体感诱发电位 弥散加权成像 预后 |
SEPs and DWI in Acute Cerebral Infarction |
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Affiliation: | XU Qiu-shuang,DUAN Hong-wei,LIU Qing-rui,et al.(Department of Neurology,the fourth Hospital of Hebei Medical cluitersity,shijiazhuang 050011,China) |
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Abstract: | Objective:To evaluate the application value of DWI and SEPs in acute cerebral infarction.Methods:The conventional MRI,DWI and SEPs were examined in 71 patients with acute cerebral infarction,All the patients' NIHSS score were evaluated when on admission and two months after the onset.Results:Forty-six of the 71 patients had abnormal SEPs results;there were significant differences in the NIHSS1 and NIHSS2 score of the three group(P〈0.05).DWI had higher positiverate indetecting infarction than conventional MRI;the infarct volume had obvious positive correlation with the NIHSS.Conclusion:SEPs associated with DWI could provide more accurate diagnosis of acute cerebral infarction and could provide the imaging evidence for clinician to evaluate the pathogenetic condition and prognosis. |
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Keywords: | acute cerebral infarction somatosensory evoked potentials diffusion-weighted imaging prognosis |
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