MULTIMODALITY EVOKED-POTENTIALS AND EARLY PROGNOSIS IN COMATOSE PATIENTS

被引:19
作者
FIRSCHING, R
FROWEIN, RA
机构
[1] Neurosurgical Department, University Clinic, Cologne
关键词
Coma; evoked potentials; prognosis;
D O I
10.1007/BF00383655
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
In 112 comatose patients somatosensory, visual and auditory evoked potentials were registered within 36 hours after the onset of coma or admission. Main causes of coma were head injury, and intracerebral and subarachnoid haemorrhage. The initial bilateral loss of any evoked potential was associated with a mortality of 98%. Normal somatosensory evoked potentials were associated with a survival rate of 74%, while normal visual and normal auditory evoked potentials had a survival rate of 60% and 66%, respectively. It is concluded that SEPs can be valuable for the prognosis of coma after primary brain lesions. © 1990 Walter de Gruyter & Co.
引用
收藏
页码:141 / 146
页数:6
相关论文
共 26 条
[1]  
Anderson D., Bundlie S., Rockswold G., Multimodality evoked potentials in closed head trauma, Arch Neurol, 41, pp. 369-374, (1984)
[2]  
Cant B., Hume A., Judson J., Shaw N., The assessment of severe head injury by short-latency somatosensory and brain-stem auditory evoked potentials, Electroencephalogr clin Neuophysiol, 65, pp. 188-195, (1986)
[3]  
De La Torre J., Trimble J., Beard R., Hanlon K., Surgeon J., Somatosensory evoked potentials for the prognosis of coma in humans, Exp Neurol, 60, pp. 304-317, (1978)
[4]  
Facco E., Martini A., Zuccarello M., Agnoletto M., Giron G., Is the auditory brain stem response (ABR) effective in the assessment of posttraumatic coma?, Electroencephalogr clin Neurophysiol, 62, pp. 332-337, (1985)
[5]  
Frowein R.A., Classification of coma, Acta Neurochir (Wien), 34, pp. 5-10, (1976)
[6]  
Greenberg R., Newlon P., Hyatt M., Narayan R., Becker D., Prognostic implications of early multimodality evoked potentials in severely head injured patients, J Neurosurg, 55, pp. 227-236, (1981)
[7]  
Greenberg R., Mayer D., Becker D., Miller J., Evaluation of brain function in severe human head trauma with multimodality evoked potentials, J Neurosurg, 47, pp. 150-162, (1977)
[8]  
Hume A., Cant B., Shaw N., Central somatosensory conduction time in comatose patients, Ann Neurol, 5, pp. 379-384, (1979)
[9]  
Kaga D., Nagai T., Takamoti A., Matsh R., Auditory short, middle and long latency responses in acutely comatose patients, Laryng, 95, pp. 321-325, (1985)
[10]  
Karnaze D., Marshall L., McCarthy C., Klauber M., Bickford R., Localizing and prognostic value of auditory evoked responses in coma after closed head injury, Neurol, 32, pp. 299-302, (1982)