Correlation between brainstem reflex and outcome of long-term unconscious patients with severe traumatic brain injury
10.3760/cma.j.issn.1671-8925.2012.11.017
- VernacularTitle:脑创伤长期意识障碍患者脑干反射表现与清醒结果的关系
- Author:
Yun BAO
1
;
Xiang-Yu WANG
;
Wei-Wei XU
;
Cheng-Ji XIE
;
Yan-Wei CHEN
;
Ya-Bing MA
Author Information
1. 510280 广州,南方医科大学珠江医院神经外科,广东神经外科研究所,广东省脑功能修复与再生重点实验室
- Keywords:
Brainstem reflex;
Traumatic brain injury;
Unconscious;
Prediction
- From:
Chinese Journal of Neuromedicine
2012;11(11):1162-1165
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the correlation between the findings ofbrainstem reflex (BSR)and the prognosis of consciousness in long-term unconscious patients with severe traumatic brain injury (TBI).Methods BSR findings were collected in 60 patients,admitted to our hospital from March 2010 to June 2011 and suffered from severe TBI with a duration of disturbance of consciousness≥2weeks.The patients were divided into conscious and unconscious groups based on whether or not the patients were still with disturbance of consciousness 6 months after the injury.And finally,the significant indicators were chosen in the two groups using chi square test.Results A total of 36 patients (60.0％)retrieved consciousness 6 months after the injury.The abnormality rate of BSR was 23.8％.Significant differences were noted between conscious and unconscious groups in the disappearance of left ciliospinal reflex,left vertical oculo-vestibular reflex,double light reflex and oculocardiac reflex.The unconscious probabilities in patients with abnormal BSR which indexes mentioned above were higher.Conclusion The findings of BSR can objectively and accurately demonstrate the degree of cerebral dysfunction and predict the prognosis of consciousness.
