摘要
目的探讨定量EEG趋势图在颈内动脉重度狭窄患者脑功能状态评估中的应用及其对短期内发生急性闭塞风险的预测价值。方法回顾性分析1例左侧颈内动脉重度狭窄患者临床和影像学资料,通过定量EEG趋势图评估其脑功能状态。结果定量EEG趋势图中节律性频谱图、振幅整合EEG和快速傅里叶转化频谱、功率谱能快速、直观地显示颈内动脉重度狭窄侧半球θ活动持续较健侧增多,且波幅增高。3 d后患者出现左侧颈内动脉急性闭塞、大动脉粥样硬化型脑梗死。结论作为神经影像学检查的补充,定量EEG趋势图可能有助于早期、快速识别颈内动脉重度狭窄患者缺血状态下的脑功能损伤,甚至对患者短期内发生急性闭塞具有潜在的预测价值。
Objective To explore the application of quantitative EEG(QEEG)trends in the assessment of the state of brain function in patients with severe stenosis of the internal carotid artery and its predictive value for the risk of acute occlusion in the short term.Methods The clinical and imaging data of a case of severe left internal carotid stenosis were retrospectively analyzed,and QEEG trends were used for evaluating the state of brain function.Results It showed that rhythmicity spectrogram,amplitude⁃integrated EEG,fast Fourier transformation spectrogram and fast Fourier transform power spectrum in QEEG trends could quickly and visually display theta activity and amplitude at the side of severe internal carotid artery stenosis continued to increase compared with the healthy side hemisphere.Acute occlusion of the left internal carotid artery and large artery atherosclerotic cerebral infarction occurred in the patient after 3 days.Conclusion As a supplement to neuroimaging examination,QEEG trends may be helpful for rapidly diagnosing brain function damage in the early stage of patients with severe internal carotid artery stenosis who are under the ischemic attack state,and even have potential predictive values for patients with acute occlusion in the short term.
作者
吉思媱
王岩
陆叶婷
朱翔毅
徐敏
胡小伟
JI Siyao;WANG Yan;LU Yeting(Department of Neurology,the First Affiliated Hospital of Soochow University,Suzhou 215006,China)
出处
《临床神经病学杂志》
CAS
2024年第1期26-30,共5页
Journal of Clinical Neurology
基金
中国抗癫痫协会癫痫科研基金(CU-2022-023)
江苏省卫健委老年健康科研课题项目(LKM-2022019)
江苏省科学技术协会调研课题(JSKXKT2022035)
江苏省卫生健康发展研究中心开放课题(JSDH2021036)。
关键词
定量EEG
定量EEG趋势图
颈动脉重度狭窄
脑功能状态
quantitative EEG
quantitative EEG trends
severe carotid artery stenosis
brain function state
