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뇌졸중 환자에서 NIHSS 검사와 운동유발전위와의 연관관계

Relationship of National Institute of Health Stroke Scale and Motor Evoked Potentials in Subjects with Stroke

박진희|김태환|정한영
대한재활의학회 (Korean Academy Of Rehabilitation Medicine)|2005.12|Annals of Rehabilitation Medicine|제29권 제6호|pp. 563-567

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참고문헌

주제분류재활의학

초록

Abstract

Objective: To investigate the relationship between National Institute of Health Stroke Scale (NIHSS) and motor evoked potential (MEP) after stroke, measured by transcranial magnetic stimulation (TMS). Method: Forty six subjects with the middle cerebral artery ischaemic/hemorrhagic stroke were examined with NIHSS and TMS. According to the responsiveness of MEP in the affected muscles, subjects were divided into 2 groups: Group I consisted of 26 subjects responsive to TMS of the affected hemisphere and group II, 20 subjects unresponsive to TMS. NIHSS score was expressed as a sum of NIHSS total score, NIHSS arm and leg subscore. Results: The resting motor threshold (rMT) and the ampli-tude of MEP in group I were 75.1% and 13.5 uV, respectively. Although NIHSS leg subscore was no statistical difference between two groups, NIHSS total score and NIHSS arm subscore in group I were statistically lower than those in group II. In group I, the rMT had a correlation with NIHSS total score and NIHSS arm subscore (r=0.39, r=0.49, p＜0.05), but did not with NIHSS leg subscore (r=0.07, p＞0.05). Conclusion: The NIHSS has relationship with cortical neurophysiological changes in the affected cerebral cortex in stroke. Therefore, it would be a useful tool to evaluate the status of motor function of hemiplegic stroke.

참고문헌 (22)

  1. "편마비 환자의 상하지 운동유발전위", 22, pp.386~391 (1998)
  2. "A three-item scale for the early prediction of stroke recovery", pp.2095~2099 (2001)
  3. "Validity and reliability of a quantitative computed tomography score in predicting outcome of hyperacute stroke before thrombolytic therapy", 355, pp.1670~1674 (2000)
  4. "Measurements of acute cerebral infarction", pp.864~870 (1989)
  5. "Transcranial magnetic stimulation techniques in clinical investigation", 59, pp.1851~1859 (2002)
  6. "Comparison of PET oxygen extraction fraction methods for the prediction of stroke risk", 42, pp.1195~1197 (2001)
  7. "Is the association of National Institutes of Health Stroke Scale scores and acute magnetic resonance imaging stroke volume equal for patients with right- and left- hemisphere ischemic stroke", pp.954~958 (2002)
  8. "Randomized trial of Tiriazad Mesylate in acute stroke Combined clinical and imaging information as an early stroke outcome measure", pp.466~472 (2002)
  9. "Reliability and validity of estimating the NIH stroke scale score from medical records", 30, pp.1534~1537 (1999)
  10. "Comparison of diffusion-weighted MRI and CT in acute stroke", 54, pp.1557~1561 (2000)
  11. "Functional evaluation:the Barthel index", 14, pp.61~65 (1965)
  12. "Diffusion- and perfusion- weighted MRI.The DWI", PWI mismatch region in acute stroke, 1999, pp.30, 1591~1596
  13. "Improved prediction of final infarct volume using bolus delay-corrected perfusion-weighted MRI:implications for the ischemic penumbra", 35, pp.2466~2471 (2004)
  14. "Non-invasive electrical and magnetic stimulation of the brain basic principles and procedures for routine clinical application Report of an IFCN committee", (ordhout md), pp.79~92
  15. "Measurement of infarct size using MRI predicts prognosis in middle cerebral artery infarction", 26, pp.2272~2276 (1995)
  16. "Infarct volume as a surrogate or auxiliary outcome measure in ischemic stroke clinical trials.The RANTTAS Investigator", 30, pp.293~298 (1999)
  17. "Brain perfusion SPECT in the prognostic assessment of stroke", 22, pp.327~ (2003)
  18. "Tissue plasminogen activator for acute ischemic stroke", 333, pp.1581~1588 (1995)
  19. "Motor recovery following stroke:a transcranial magnetic stimulation study", 111, pp.1860~1867 (2000)
  20. "Reproducibility of measurements of cerebral infarct volume on CT scans", 32, pp.424~430 (2001)
  21. "Acute human stroke studies by whole brain echo planar diffusion-weighted magnetic resonance imaging", 37, pp.231~241 (1995)
  22. "Early motor evoked potentials in acute stroke:adjunctive measure to MRI for assessment of prognosis in acute stroke within 6 hours", 18, pp.130~134 (2004)

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