椎基底动脉系统短暂性脑缺血发作的听觉诱发电位变化观察.pdfVIP

Journal of Chongqing Medical University . Vol. No. 967 重庆医科大学学报2009 年第34 卷第7 期（ 2009 34 7 ） — — 临床研究 文章编号：0253- 3626 （2009）07- 0967- 02 椎- 基底动脉系统短暂性脑缺血发作的听觉诱发电位 变化观察 1 1 1 2 周竹娟 ，李黔宁 ，郑 健 ，赵炳琪 （1. 第三军医大学新桥医院神经内科，重庆 400037 ，2. 山东省胜利石油管理局河口医院，东营 257200） 【摘 要】目的：探讨脑干听觉诱发电位（Brainstemauditoryevoked potential，BAEP）对椎- 基底动脉系统短暂性脑缺血发作（Transient ischemicattack，TIA）的诊断价值。方法：对33 例椎- 基底动脉系统TIA 患者进行BAEP 检测。结果：椎- 基底动脉系统TIA 患者BAEP 异常率为78.8%，主要表现为Ⅰ、Ⅲ、Ⅴ波波形异常，Ⅰ波、Ⅴ波波峰潜伏期（Peak latency，PL）、Ⅲ～Ⅴ、Ⅰ～Ⅴ峰间潜伏期（Interpeak latency，IPL）较对照组明显延长（P 0.05）。结论：BAEP 有助于椎- 基底动脉系统TIA 患者的诊断，且可作为病变定位的依据。 【关键词】椎- 基底动脉；短暂性脑缺血发作；脑干听觉诱发电位 【中国图书分类法分类号】R743.3 【文献标识码】A 【收稿日期】2009- 05- 14 The change of brainstem auditory evoked potential after vertebrobasilar transient ischemic attack ZHOU Zhu-juan ，et al (Department of Neurology, Xinqiao Hospital ，the Third Military Medical University ) 【Abstract 】Objective:To explore the diagnostic value of brainstem auditory evoked potential(BAEP) in patients with vertebrobasilar transient ischemic attack （TIA）. Methods : BAEP was performed in 33 patients with vertebrobasilar TIA. Results : The abnormality rate of BAEP was 75.8%. It showed that the Ⅰ，Ⅲor Ⅴwave was abnormal in some patients. The peak latency （PL）of Ⅰ，Ⅴwaves and the interpeak latency （IPL）of Ⅲ～Ⅴand Ⅰ～Ⅴwave from vertebrobasilar TIA was longer than the control group （P 0.05）. Conclusion: BAEP is helpful to diagnose vertebrobasilar TIA，which can be used to determine the location of the lesion. 【Key words 】Vertebrobasilar artery；Transient ischemic attack ；Brains