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癫痫亚临床发作的脑血流动力学监测

安红伟 卢昌均 程岗

郑州大学学报(医学版)2011,Vol.46Issue(1):106-109,4.
郑州大学学报(医学版)2011,Vol.46Issue(1):106-109,4.

癫痫亚临床发作的脑血流动力学监测

Haemodynamic monitoring by transcranial Doppler in sub-clinical epilepsy attack

安红伟 1卢昌均 1程岗2

作者信息

  • 1. 柳州市中医院神经内科,柳州,545001
  • 2. 第四军医大学西京医院神经外科,西安,710032
  • 折叠

摘要

Abstract

Aim:To investigate the value of transcranial Doppler (TCD) in haemodynamic monitoring of sub-clinical epilepsy. Methods:Thirty patients with sub-clinical epilepsy were continuously monitored by TCD and electroencephalogram (EEG). TCD data of five time points were analyzed, including 1 min before sub-clinical epilepsy attack, 1,5,10,and,20 min after sub-clinical epilepsy attack. Results: There were significant differences of systolic velocity (vs) , mean velocity (vm) , diastolic velocity (vd) , pulsatility index (PI) of middle cerebral artery ( MCA) and heart rate (HR) between pre-and post- sub-clinical epilepsy (F = 69.880, 78.716, 58.393, 119.209, and 164.268, P<0.001).vs, vm, vd and HR reached the peek ( P < 0. 001 ) , and PI was lowest 1 min after sub-clinical epilepsy attack ( P < 0. 001 ). Conclusion: There is typical haemodynamic change during sub-clinical epilepsy attack. Abrupt increase of cerebral blood flow in TCD shows that there will be sub-clinical epilepsy attack.

关键词

亚临床/癫痫/经颅多普勒/脑电图/脑血流

Key words

sub-clinical/epilepsy/transcranial Doppler/electroencephalogram/ haemodynamics

分类

医药卫生

引用本文复制引用

安红伟,卢昌均,程岗..癫痫亚临床发作的脑血流动力学监测[J].郑州大学学报(医学版),2011,46(1):106-109,4.

郑州大学学报(医学版)

OA北大核心CSTPCD

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