Characteristics of Types of Electroencephalograms in Patients with Cerebral Contusion of Mild Severity in the Acute Period with Subarachnoid and without Subarachnoid Hemorrhage

V. Shevaga, M. Semchyshyn, B. Zadorozhna, A. Zadorozhnyi
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Abstract

group with cerebral contusion of the mild severity without hemorrhage, for which they are characteristic, types of EEG were plane, border and normal. Analysis of the results of the study showed that in patients in the acute period of the cerebral contusion of the mild severity with subarachnoid hemorrhage, there was a significant difference with respect to all types of EEG ( р < 0.05) control. In patients with cerebral contusion of the mild severity without subarachnoid hemorrhage in acute period a significant difference was observed only with respect plane ( р 1 < 0.05), normal ( р 1 < 0.05) and border ( р 1 < 0.05) types of EEG compared to control. Changes of polyrhythmic ( р 1 > 0.05) and synchronized ( р 1 > 0.05) types of EEG in patients with cerebral contusion of the mild severity without subarachnoid hemorrhage were unlikely compared to the control. Comparing the studied groups in the acute period of the cerebral contusion of the mild severity among ourselves, we found the significance of differences with respect to polyrhythmic ( р 2 < 0.05), synchronized ( р 2 < 0.05), normal ( р 2 < 0.05) and border ( р 2 < 0.05) types of EEG, and relatively plane types of EEG indicators were unreliable ( р 2 > 0.05). Conclusions. These studies reflect the pathogenesis of trauma, point to the special role of nonspecific brainstem and hypothalamus systems, as triggers that lead to impaired cortical-subcortical and cerebral-spinal neurodynamics. Among the EEG characteristics, the most important for diagnosis is the phenomenon of synchronization, which reflects the phase of brain injury and is expressed by the rise of slow δ (delta) and θ (theta) waves. Pathological processes in the cerebral contusion of the mild severity of EEG are reflected by a combination of focal and cerebral changes in bioelectric activity and can be used for diagnostic and expert purposes. hemorrhage, acute period, types of electroencephalograms.
轻度脑挫伤伴蛛网膜下腔出血和无蛛网膜下腔出血急性期的脑电图类型特征
轻度无出血脑挫伤组为特征性,脑电图类型为平面型、边界型和正常型。研究结果分析显示,轻度脑挫伤急性期伴蛛网膜下腔出血患者,各类型脑电图对照差异有统计学意义(p < 0.05)。急性期无蛛网膜下腔出血的轻度脑挫裂伤患者,其脑电图仅面型(1 < 0.05)、正常型(1 < 0.05)和边界型(1 < 0.05)与对照组比较,差异有统计学意义。无蛛网膜下腔出血的轻度脑挫裂伤患者脑电图多节律型(±1 > 0.05)和同步型(±1 > 0.05)的变化与对照组比较不明显。比较各组间轻度脑挫伤急性期脑电图多节奏型(< 0.05)、同步型(< 0.05)、正常型(< 0.05)、边界型(< 0.05),脑电图相对平面型指标不可靠(> 0.05)。结论。这些研究反映了创伤的发病机制,指出非特异性脑干和下丘脑系统的特殊作用,作为导致皮质-皮质下和脑脊神经动力学受损的触发器。在脑电图特征中,对诊断最重要的是同步现象,它反映了脑损伤的阶段,表现为δ (delta)和θ (theta)慢波的上升。脑电图轻度严重程度脑挫伤的病理过程反映了局灶性和脑生物电活动的变化,可用于诊断和专家目的。出血,急性期,脑电图类型。
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