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MEDISAN
versión On-line ISSN 1029-3019
Resumen
TORRES CANDEBAT, Freddy; DELGADO SUAREZ, Iván y MONTOYA PEDRON, Arquímedes. Pronostic value of brain mapping in the functional recovery of patients with ischemic cerebrovascular disease. MEDISAN [online]. 2012, vol.16, n.10, pp. 1567-1578. ISSN 1029-3019.
A longitudinal and prospective descriptive study was made in 22 patients with ischemic ictus that were admitted to "Dr. Juan Bruno Zayas Alfonso" Teaching General Hospital in Santiago de Cuba from January, 2010 to the same month of 2011, aimed at establishing a prognosis of functional recovery from the cerebral mapping. A neurophysiological and functional evaluation was carried out by means of Barthel index. In the studied series the mean age was 57.2 years and the male sex prevailed. Cerebral mapping was characterized by the presence of slow activity (theta, delta) and beta and alpha decreases in cortical ipsilateral and contralateral regions to the territory affected by the ischemic focus; likewise, the magnitude of these changes was closely correlated with the functional gain. The energy decrease in the alpha bands associated with its increment in the theta and delta bands, of global type, constituted rates of bad rehabilitation prognosis.
Palabras clave : ischemic cerebrovascular disease; prognosis; rehabilitation; electroencephalogram; cerebral mapping; neuronal plasticity.