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Yıl:1996; Cilt: 1; Sayı: 2>> Özet
Nöropsikiyatri Gündemi; 1996;1(2):38-40
Akut İskemik Strokta Median Sinir SEP İncelemesi
Z Arık, M Onar, A Kara, M Gündoğdu, A Onur
Ondokuz Mayıs Üniversitesi Tıp Fakültesi Nöroloji Anabilim Dalı
Bu çalışmada akut iskemik stroklu hastalarda erken dönemde somatosensoryel uyarılmış potansiyel (SEP) anormalliklerini araştırmak amaçlanmıştır. Bilgisayarlı Tomografi (BT) ile akut iskemik infarkt tanısı konulan 52 hastada 2-72 saat arası dönemde bilateral median sinir SEP incelemesi yapıldı. Yirmi bir hastada (% 40) SEP'ler normal bulundu. On iki hastada (% 23) N20 latansı, N20-P27 amplitüdü ve santral ileti zamanı anormal bulundu. On dokuz hastada (% 37) kortikal yanıt elde edilemedi. Kortikal yanıt elde edilemeyen hastaların % 50'sinde BT'de orta serebral alanında infarkt vardı. Orta serebral arter proksimal tıkanmalarının hiçbirinde kortikal yanıt alınmadı. Akut iskemik strokta SEP incelemesi, özelikle orta serebral arter tıkanmalarında klinik ve radyolojik tanıyı desteklemektedir. BT'nin normal olabileceği bu dönemde SEP incelemesi yapılması tanıya yardımcıdır.

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