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首页> 外文期刊>Journal of Concussion >Electrophysiological testing in concussion: A guide to clinical applications:
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Electrophysiological testing in concussion: A guide to clinical applications:

机译：脑震荡中的电生理测试：临床应用指南：

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摘要

The diagnosis of mild traumatic brain injury in concussion is difficult since it is often unwitnessed, the patient’s recall is unreliable and initial clinical examination is often unrevealing, correlating poorly with the extent of brain injury. At present, there are no objective biomarkers of mild traumatic brain injury in concussion. Thus, a sensitive gold standard test is required to enable the effective and safe triage of patients who present to the acute services. As well as triage, objective monitoring of patients’ recovery over time and separate from clinical features that patients may develop following the injury (e.g. depression and migraine) is also needed. In contrast to neuroimaging, which is widely used to investigate traumatic brain injury patients, electrophysiology is readily available, is cheap and there are internationally recognized standardised methodologies. Herein, we review the existing literature on electrophysiological testing in concussion and mild traumatic brain injury; specifically, electroencephalogram, polysomnography, brainstem auditory evoked potentials, electro- and videonystagmography, vestibular evoked myogenic potentials, visually evoked potentials, somatosensory evoked potentials and transcranial magnetic stimulation.
机译：脑震荡中轻度创伤性脑损伤的诊断很困难，因为它常常是不为人所知的，患者的召回不可靠，并且最初的临床检查常常没有透露出来，与脑损伤的程度相关性很差。目前，尚无在脑震荡中轻度脑外伤的客观生物标志物。因此，需要灵敏的金标准测试来对急诊患者进行有效和安全的分类。除分类以外，还需要对患者的病情随时间推移进行客观监测，并与患者在受伤后可能发展的临床特征（例如抑郁症和偏头痛）分开进行监测。与广泛用于研究颅脑损伤患者的神经影像学相反，电生理学容易获得，价格便宜并且有国际公认的标准化方法。本文中，我们回顾了有关脑震荡和轻度创伤性脑损伤的电生理测试的现有文献。特别是脑电图，多导睡眠图，脑干听觉诱发电位，电子和视频眼震描记法，前庭诱发肌源性电位，视觉诱发电位，体感诱发电位和经颅磁刺激。

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