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Short latency afferent inhibition associated with cortical compression and memory impairment in patients with chronic subdural hematoma.

Abstract：

OBJECTIVE:To evaluate the cortical excitability in patients with mild cortical compression. METHODS:The present study used short interval intracortical inhibition (SICI), intracortical facilitation (ICF), and short latency afferent inhibition (SAI) to evaluate motor cortex excitability in 16 chronic subdural hematoma (CSDH) patients with memory impairment and compared the data with those of 16 healthy controls. RESULTS:SAI was reduced in patients compared with controls (99±14 vs. 47±11% of the test size; p<0.0001, unpaired t-test). CSDH patients tended to have a high resting motor threshold and less pronounced SICI and ICF than controls, but these differences were not significant. Treatment of hematoma improved memory impairment and SAI in CSDH patients with wide individual variations that ranged from an increase of 74% to 17% of test size. CONCLUSION:These findings suggest that measuring SAI may provide a means of probing the integrity of cortical cholinergic networks in a compressed human brain.

journal_name

Clin Neurol Neurosurg

journal_title

Clinical neurology and neurosurgery

authors

Kawasaki Y,Fujiki M,Ooba H,Sugita K,Hikawa T,Abe T,Ishii K,Kobayashi H

doi

10.1016/j.clineuro.2012.02.037

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

976-80

issue

7

eissn

0303-8467

issn

1872-6968

pii

S0303-8467(12)00131-X

journal_volume

114

pub_type

杂志文章

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