Somatosensory evoked potential and modified cerebral hemorrhage scale in prognosing the extremity function of patients with intracerebral hemorrhage
10.3760/cma.j.issn.1671-8925.2011.10.017
- VernacularTitle:体感诱发电位和改良脑出血量表在脑出血患者肢体运动功能康复中的预测价值
- Author:
Guo-li NG ZHA
1
;
Yan-Chun LI
;
Yong ZHU
;
Fang LIU
Author Information
1. 怀化医学高等专科学校附属医院
- Keywords:
Intracerebral hemorrhage;
Somatosensory evoked potential;
Modified cerebral hemorrhage scale;
Extremity motor function;
Prognosis
- From:
Chinese Journal of Neuromedicine
2011;10(10):1038-1041
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of somatosensory evoked potential (SEP) and modified cerebral hemorrhage (MICH) scale in prognosing the extremity function of patients with intracerebral hemorrhage (ICH).Methods Eighty-two patients with ICH were measured with SEP and MICH,and modified Rankin scales (MRS) was performed to evaluate the extremity function at 1,3 and 6 months after discharging from the hospital.The predictive value of SEP and MICH was evaluated.Results MRS scores in patients with Zentner grade-Ⅱ and MICH scores＜3 were much significantly higher than those in patients with Zentner grade-Ⅰ and MICH scores ≥3 at 1,3 and 6 months after discharging from the hospital (P＜0.05).For patients having MRS scores≥4 (unfavourable prognosis),Zentner grading standard and MICH scores had predictive sensitivities for unfavourable outcome of 74.2％ and 83.9％,and specificities of 86.3％ and 88.2％,positive predictive value of 76.7％ and 81.3％,and negative predictive value of 84.6％ and 90.0％.Logistic regression indicated that patients with Zentner grade-Ⅱ and MICH scores ≥ 3 had a poor outcome.Conclusion SEP and M1CH may yield information useful for predicting extremity function of patients with acute ICH.The combination of SEP with MICH scale will benefit the early formulate rehabilitation programme and promote the extremity function recovery.
