Clinical Rehabilitation:重复经颅磁刺激可改善部分意识障碍患者的意识

2022-06-25 xuyihan MedSci原创

颅内刺激是指通过一系列技术手段使刺激直接作用于脑内,如插入式电极、经颅磁刺激(Transcranial Magnetic Stimulation ,TMS)技术、光遗传技术等。

我们知道人的意识的产生涉及一些重要的脑部皮层区域,包括横向额叶和顶叶联合皮层以及内侧额叶等。这些结构的损伤会导致意识障碍,尽管许多研究已经探索了意识障碍患者的治疗药物,但仍然缺乏有效的治疗方法。重复经颅磁刺激(rTMS) 可以暂时调节大脑皮层活动,低频(≤1 Hz)和高频 (≥5 Hz) rTMS 显示前者降低皮层兴奋性形成长期抑郁,而后者产生促进振荡活动,以形成长时程的情绪增强。rTMS已被推荐用于缓解中风、神经性疼痛、帕金森病和其他神经系统疾病患者的症状。此外,据报道,rTMS显示在恢复神经递质并产生神经营养作用。但是,根据现有的证据表明,rTMS在治疗有意识障碍的患者中的效果值得商榷。因此,本研究旨在探索高频 rTMS 在提高意识障碍患者意识水平中的作用。

 

 

为此,研究人员进行了一项前瞻性研究,40名意识障碍患者(发病时间为49.0±24.6天)被随机分配到接受主动rTMS治疗组或假rTMS的对照组。主动 TMS 协议的频率为 20 Hz,在左背外侧前额叶皮层传递,并具有 100% 的静息运动阈值。假 rTMS 治疗组则不添加任何电刺激。在为期四周的干预之前和之后,通过昏迷恢复量表修订版 (CRS-R) 评估患者的意识。出院时对从意识障碍中苏醒的患者比例进行进一步的随访。

 

 

研究结果显示在rTMS会议之前,各组之间的意识评分没有显着差异。与假 rTMS (6.25 ± 1.29) 相比,主动 rTMS 治疗的意识障碍患者的意识明显改善 (8.45±3.55)。深入分析显示,只有部分患者在活动性 rTMS 诱导下的意识评分明显增加。此外,rTMS 并没有显着提高觉醒率。

 

 

rTMS 在一些意识障碍患者中显示出改善意识的治疗效果,但是识别出可以通过rTMS改善意识的潜在患者至关重要。

 

 

原始出处:

Jianzhong Fan. Et al. Repetitive transcranial magnetic stimulation improves consciousness in some patients with disorders of consciousness. Clinical Rehabilitation.2022.

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (6)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1764702, encodeId=c4fb1e6470281, content=<a href='/topic/show?id=caffe84982e' target=_blank style='color:#2F92EE;'>#经颅磁刺激#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78498, encryptionId=caffe84982e, topicName=经颅磁刺激)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1b1337763795, createdName=haouestc, createdTime=Wed May 10 23:28:43 CST 2023, time=2023-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1989287, encodeId=ce98198928ef0, content=<a href='/topic/show?id=3a88e3774a5' target=_blank style='color:#2F92EE;'>#磁刺激#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73774, encryptionId=3a88e3774a5, topicName=磁刺激)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8346212, createdName=respect, createdTime=Thu Jul 28 03:28:43 CST 2022, time=2022-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1236850, encodeId=60201236850d4, content=1, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d6912403114, createdName=zah220064, createdTime=Sat Aug 06 01:54:00 CST 2022, time=2022-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1489321, encodeId=19fc1489321ea, content=<a href='/topic/show?id=31525324efe' target=_blank style='color:#2F92EE;'>#意识障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53247, encryptionId=31525324efe, topicName=意识障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0e8b8531967, createdName=guguangxiang, createdTime=Mon Jun 27 08:28:43 CST 2022, time=2022-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1507848, encodeId=b57d150e84826, content=<a href='/topic/show?id=8764484014' target=_blank style='color:#2F92EE;'>#clinical#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4840, encryptionId=8764484014, topicName=clinical)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1ee59933733, createdName=zll0628, createdTime=Mon Jun 27 08:28:43 CST 2022, time=2022-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1522006, encodeId=f2c4152200686, content=<a href='/topic/show?id=f83866137f' target=_blank style='color:#2F92EE;'>#EHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6613, encryptionId=f83866137f, topicName=EHA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=937d11405368, createdName=qjddjq, createdTime=Mon Jun 27 08:28:43 CST 2022, time=2022-06-27, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=1764702, encodeId=c4fb1e6470281, content=<a href='/topic/show?id=caffe84982e' target=_blank style='color:#2F92EE;'>#经颅磁刺激#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78498, encryptionId=caffe84982e, topicName=经颅磁刺激)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1b1337763795, createdName=haouestc, createdTime=Wed May 10 23:28:43 CST 2023, time=2023-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1989287, encodeId=ce98198928ef0, content=<a href='/topic/show?id=3a88e3774a5' target=_blank style='color:#2F92EE;'>#磁刺激#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73774, encryptionId=3a88e3774a5, topicName=磁刺激)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8346212, createdName=respect, createdTime=Thu Jul 28 03:28:43 CST 2022, time=2022-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1236850, encodeId=60201236850d4, content=1, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d6912403114, createdName=zah220064, createdTime=Sat Aug 06 01:54:00 CST 2022, time=2022-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1489321, encodeId=19fc1489321ea, content=<a href='/topic/show?id=31525324efe' target=_blank style='color:#2F92EE;'>#意识障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53247, encryptionId=31525324efe, topicName=意识障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0e8b8531967, createdName=guguangxiang, createdTime=Mon Jun 27 08:28:43 CST 2022, time=2022-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1507848, encodeId=b57d150e84826, content=<a href='/topic/show?id=8764484014' target=_blank style='color:#2F92EE;'>#clinical#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4840, encryptionId=8764484014, topicName=clinical)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1ee59933733, createdName=zll0628, createdTime=Mon Jun 27 08:28:43 CST 2022, time=2022-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1522006, encodeId=f2c4152200686, content=<a href='/topic/show?id=f83866137f' target=_blank style='color:#2F92EE;'>#EHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6613, encryptionId=f83866137f, topicName=EHA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=937d11405368, createdName=qjddjq, createdTime=Mon Jun 27 08:28:43 CST 2022, time=2022-06-27, status=1, ipAttribution=)]
    2022-07-28 respect
  3. [GetPortalCommentsPageByObjectIdResponse(id=1764702, encodeId=c4fb1e6470281, content=<a href='/topic/show?id=caffe84982e' target=_blank style='color:#2F92EE;'>#经颅磁刺激#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78498, encryptionId=caffe84982e, topicName=经颅磁刺激)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1b1337763795, createdName=haouestc, createdTime=Wed May 10 23:28:43 CST 2023, time=2023-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1989287, encodeId=ce98198928ef0, content=<a href='/topic/show?id=3a88e3774a5' target=_blank style='color:#2F92EE;'>#磁刺激#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73774, encryptionId=3a88e3774a5, topicName=磁刺激)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8346212, createdName=respect, createdTime=Thu Jul 28 03:28:43 CST 2022, time=2022-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1236850, encodeId=60201236850d4, content=1, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d6912403114, createdName=zah220064, createdTime=Sat Aug 06 01:54:00 CST 2022, time=2022-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1489321, encodeId=19fc1489321ea, content=<a href='/topic/show?id=31525324efe' target=_blank style='color:#2F92EE;'>#意识障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53247, encryptionId=31525324efe, topicName=意识障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0e8b8531967, createdName=guguangxiang, createdTime=Mon Jun 27 08:28:43 CST 2022, time=2022-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1507848, encodeId=b57d150e84826, content=<a href='/topic/show?id=8764484014' target=_blank style='color:#2F92EE;'>#clinical#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4840, encryptionId=8764484014, topicName=clinical)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1ee59933733, createdName=zll0628, createdTime=Mon Jun 27 08:28:43 CST 2022, time=2022-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1522006, encodeId=f2c4152200686, content=<a href='/topic/show?id=f83866137f' target=_blank style='color:#2F92EE;'>#EHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6613, encryptionId=f83866137f, topicName=EHA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=937d11405368, createdName=qjddjq, createdTime=Mon Jun 27 08:28:43 CST 2022, time=2022-06-27, status=1, ipAttribution=)]
    2022-08-06 zah220064

    1

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1764702, encodeId=c4fb1e6470281, content=<a href='/topic/show?id=caffe84982e' target=_blank style='color:#2F92EE;'>#经颅磁刺激#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78498, encryptionId=caffe84982e, topicName=经颅磁刺激)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1b1337763795, createdName=haouestc, createdTime=Wed May 10 23:28:43 CST 2023, time=2023-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1989287, encodeId=ce98198928ef0, content=<a href='/topic/show?id=3a88e3774a5' target=_blank style='color:#2F92EE;'>#磁刺激#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73774, encryptionId=3a88e3774a5, topicName=磁刺激)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8346212, createdName=respect, createdTime=Thu Jul 28 03:28:43 CST 2022, time=2022-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1236850, encodeId=60201236850d4, content=1, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d6912403114, createdName=zah220064, createdTime=Sat Aug 06 01:54:00 CST 2022, time=2022-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1489321, encodeId=19fc1489321ea, content=<a href='/topic/show?id=31525324efe' target=_blank style='color:#2F92EE;'>#意识障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53247, encryptionId=31525324efe, topicName=意识障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0e8b8531967, createdName=guguangxiang, createdTime=Mon Jun 27 08:28:43 CST 2022, time=2022-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1507848, encodeId=b57d150e84826, content=<a href='/topic/show?id=8764484014' target=_blank style='color:#2F92EE;'>#clinical#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4840, encryptionId=8764484014, topicName=clinical)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1ee59933733, createdName=zll0628, createdTime=Mon Jun 27 08:28:43 CST 2022, time=2022-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1522006, encodeId=f2c4152200686, content=<a href='/topic/show?id=f83866137f' target=_blank style='color:#2F92EE;'>#EHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6613, encryptionId=f83866137f, topicName=EHA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=937d11405368, createdName=qjddjq, createdTime=Mon Jun 27 08:28:43 CST 2022, time=2022-06-27, status=1, ipAttribution=)]
  5. [GetPortalCommentsPageByObjectIdResponse(id=1764702, encodeId=c4fb1e6470281, content=<a href='/topic/show?id=caffe84982e' target=_blank style='color:#2F92EE;'>#经颅磁刺激#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78498, encryptionId=caffe84982e, topicName=经颅磁刺激)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1b1337763795, createdName=haouestc, createdTime=Wed May 10 23:28:43 CST 2023, time=2023-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1989287, encodeId=ce98198928ef0, content=<a href='/topic/show?id=3a88e3774a5' target=_blank style='color:#2F92EE;'>#磁刺激#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73774, encryptionId=3a88e3774a5, topicName=磁刺激)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8346212, createdName=respect, createdTime=Thu Jul 28 03:28:43 CST 2022, time=2022-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1236850, encodeId=60201236850d4, content=1, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d6912403114, createdName=zah220064, createdTime=Sat Aug 06 01:54:00 CST 2022, time=2022-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1489321, encodeId=19fc1489321ea, content=<a href='/topic/show?id=31525324efe' target=_blank style='color:#2F92EE;'>#意识障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53247, encryptionId=31525324efe, topicName=意识障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0e8b8531967, createdName=guguangxiang, createdTime=Mon Jun 27 08:28:43 CST 2022, time=2022-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1507848, encodeId=b57d150e84826, content=<a href='/topic/show?id=8764484014' target=_blank style='color:#2F92EE;'>#clinical#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4840, encryptionId=8764484014, topicName=clinical)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1ee59933733, createdName=zll0628, createdTime=Mon Jun 27 08:28:43 CST 2022, time=2022-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1522006, encodeId=f2c4152200686, content=<a href='/topic/show?id=f83866137f' target=_blank style='color:#2F92EE;'>#EHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6613, encryptionId=f83866137f, topicName=EHA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=937d11405368, createdName=qjddjq, createdTime=Mon Jun 27 08:28:43 CST 2022, time=2022-06-27, status=1, ipAttribution=)]
    2022-06-27 zll0628
  6. [GetPortalCommentsPageByObjectIdResponse(id=1764702, encodeId=c4fb1e6470281, content=<a href='/topic/show?id=caffe84982e' target=_blank style='color:#2F92EE;'>#经颅磁刺激#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78498, encryptionId=caffe84982e, topicName=经颅磁刺激)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1b1337763795, createdName=haouestc, createdTime=Wed May 10 23:28:43 CST 2023, time=2023-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1989287, encodeId=ce98198928ef0, content=<a href='/topic/show?id=3a88e3774a5' target=_blank style='color:#2F92EE;'>#磁刺激#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73774, encryptionId=3a88e3774a5, topicName=磁刺激)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8346212, createdName=respect, createdTime=Thu Jul 28 03:28:43 CST 2022, time=2022-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1236850, encodeId=60201236850d4, content=1, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d6912403114, createdName=zah220064, createdTime=Sat Aug 06 01:54:00 CST 2022, time=2022-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1489321, encodeId=19fc1489321ea, content=<a href='/topic/show?id=31525324efe' target=_blank style='color:#2F92EE;'>#意识障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53247, encryptionId=31525324efe, topicName=意识障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0e8b8531967, createdName=guguangxiang, createdTime=Mon Jun 27 08:28:43 CST 2022, time=2022-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1507848, encodeId=b57d150e84826, content=<a href='/topic/show?id=8764484014' target=_blank style='color:#2F92EE;'>#clinical#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4840, encryptionId=8764484014, topicName=clinical)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1ee59933733, createdName=zll0628, createdTime=Mon Jun 27 08:28:43 CST 2022, time=2022-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1522006, encodeId=f2c4152200686, content=<a href='/topic/show?id=f83866137f' target=_blank style='color:#2F92EE;'>#EHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6613, encryptionId=f83866137f, topicName=EHA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=937d11405368, createdName=qjddjq, createdTime=Mon Jun 27 08:28:43 CST 2022, time=2022-06-27, status=1, ipAttribution=)]
    2022-06-27 qjddjq

相关资讯

Neurology:溶栓过程中的“滚石征”

84岁,右利手女性。表现为急性意识障碍,左侧偏瘫,构音障碍和偏侧忽视。

2020 EAN指南:昏迷以及其他意识障碍的诊断

2020年2月,欧洲神经病学研究院(EAN)发布了昏迷以及其他意识障碍的诊断指南,获得性脑损伤或长期意识障碍患者 (DoC)的管理充满挑战,本文主要针对昏迷以及其他意识障碍的诊断提供指导建议,从床边检查技术、功能性神经影像学检查和脑电图等检查总结相关数据。

免费回放: 昏迷与意识障碍该怎么治疗?

首都医科大学附属天坛医院 杨艺老师

非大血管病变的大面积多发脑梗死原因是?

对于脑梗死的诊断,看似简单,殊不知其病因复杂,它的病因目前多采用TOAST分型,分为:大动脉粥样硬化型、心源性栓塞型、小动脉闭塞型、其他病因型、不明原因型。

2018 AAN/ACRM实践指南:意识障碍

本文是对1995年AAN发布的持续性植物状态实践指导以及2002年最低意识状态定义以及长期疾病患者意识状态管理建议的更新。指南共推出了18条共识建议,涉及成人以及儿童意识障碍的管理。

临床必备:意识障碍的诊断和检查方法!

昏迷是急诊科、神经内科和外科常常遇到的一种情况,对于其他科室相对少见。但是对于意识障碍的诊断和检查方法上,是所有科室医生必须要掌握的!