Clinical electrophysiologic assessments and mild traumatic brain injury: State-of-the-science and implications for clinical practice
Clinical electrophysiologic assessments and mild traumatic brain injury: State-of-the-science and implications for clinical practice
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DOI：
10.1016/j.ijpsycho.2011.03.004
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发表时间：
2011-10-01
影响因子：
3
通讯作者：
Arciniegas, David B.
中科院分区：
文献类型：
--
作者：
Arciniegas, David B.
常规和定量脑电图（分别为 EEG 和 qEEG）可以增强为轻度创伤性脑损伤 (mTBI) 和脑震荡后症状患者提供的临床诊断和治疗计划。在这种情况下，有效且适当地使用 EEG 和 qEEG 需要对这些技术、mTBI 以及脑震荡后症状的鉴别诊断具有专家级的了解。因此，从主要从事 mTBI 患者护理和研究的临床医生科学家的角度进行的实用和简短的回顾可能对对这些问题感兴趣的其他临床医生和科学家有用和有价值。为此，本文概述了传统脑电图和 qEEG 在 mTBI 患者研究和临床评估中的当前应用。回顾了 TBI 的临床病例定义、损伤后神经精神障碍的鉴别诊断以及 mTBI 后的典型恢复过程。在此背景和背景下，考虑了描述该人群脑电图和 qEEG 研究的文献的优点和局限性。然后考虑本综述对这些电生理学评估在 mTBI 和脑震荡后症状患者临床评估中的应用的影响。最后，针对在该人群中使用这些技术的未来研究设计提出了建议。尽管本综述可能对日常工作中从事临床或研究电生理学的专业人员感兴趣且有价值，但其目的是更直接地满足不太熟悉这些类型的临床电生理评估的临床医生的需求。 (C) 2011 Elsevier B.V. 保留所有权利。
Conventional and quantitative electroencephalography (EEG and qEEG, respectively) may enhance clinical diagnosis and treatment planning provided to persons with mild traumatic brain injury (mTBI) and postconcussive symptoms. Effective and appropriate use of EEG and qEEG in this context requires expert-level knowledge of these technologies, mTBI, and the differential diagnosis for postconcussive symptoms. A practical and brief review from the perspective of a clinician-scientist engaged principally in the care and study of persons with mTBI therefore may be of use and value to other clinicians and scientists interested in these matters. Toward that end, this article offers an overview of the current applications of conventional EEG and qEEG to the study and clinical evaluation of persons with mTBI. The clinical case definition of TBI, the differential diagnosis of post-injury neuropsychiatric disturbances, and the typical course of recovery following mTBI are reviewed. With this background and context, the strengths and limitations of the literature describing EEG and qEEG studies in this population are considered. The implications of this review on the applications of these electrophysiologic assessments to the clinical evaluation of persons with mTBI and postconcussive symptoms are then considered. Finally, suggestions are offered regarding the design of future studies using these technologies in this population. Although this review may be of interest and value to professionals engaged in clinical or research electrophysiology in their daily work, it is intended to serve more immediately the needs of clinicians less familiar with these types of clinical electrophysiologic assessments. (C) 2011 Elsevier B.V. All rights reserved.