关键词: Anosmia Clinical forensic medicine Electrophysiological test Odor Olfactory dysfunction

来  源:   DOI:10.1186/s41935-022-00306-1   PDF(Pubmed)

Abstract:
UNASSIGNED: It is not straightforward to objectively evaluate the olfactory dysfunction that occurs following forensic incidents. The olfactory event-related potentials method, based on electrophysiological records, may provide objective data in the evaluation of posttraumatic anosmia cases from the medicolegal perspective. This study, where a quantitative evaluation of the cases with the complaints of olfactory sensation disorder was performed using the olfactory event-related potentials test, aims to identify the factors that should be considered in the evaluation of olfactory dysfunction from the medicolegal perspective.
UNASSIGNED: This study first evaluated the complaints of 98 patients admitted because of posttraumatic impaired smell and then administered electrophysiological odor tests on the patients. Because of this, the relationship between the EEG responses of the cases and the olfactory disorder was examined. Of the 98 cases that participated in the study, 68 (69.4%) were male and 30 (30.6%) were female. Of all cases, 53 (54.1%) had complaints of not being able to smell at all, 14 (14.3%) had complaints of reduced smell, whereas, in addition to the existing complaints of olfactory dysfunction, 44 (44.9%) of them had complaints of taste perception and 18 (18.3%) reported having vision disorders. 21 of 37 cases who reported being unable to smell during the test turned out to be anosmic. Furthermore, 16 cases stated that, though having had a response in the odor test, they had no sense of smell following the test.
UNASSIGNED: Although it seems possible to prove that there is a relationship between the olfactory event-related potential test and the diagnosis of anosmia, there is still ongoing research on its use in clinical practice. Performing both subjective and electrophysiological tests together to detect olfactory dysfunctions that occur after a forensic incident enable provide more reliable results in diagnosis.
摘要:
未经评估:客观评估法医事件后发生的嗅觉功能障碍并不简单。嗅觉事件相关电位法,根据电生理记录,可以从法医学角度为评估创伤后失语症提供客观数据。这项研究,使用嗅觉事件相关电位测试对患有嗅觉感觉障碍的病例进行定量评估,旨在从法医学角度确定嗅觉功能障碍评估中应考虑的因素。
UNASSIGNED:这项研究首先评估了98例因创伤后嗅觉受损而入院的患者的投诉,然后对患者进行了电生理气味测试。正因为如此,检查了病例的EEG反应与嗅觉障碍之间的关系。在参与研究的98例病例中,男性68人(69.4%),女性30人(30.6%)。在所有案件中,53人(54.1%)抱怨完全闻不到气味,14人(14.3%)抱怨气味减少,然而,除了现有的嗅觉功能障碍的投诉,其中44人(44.9%)有味觉障碍,18人(18.3%)有视力障碍。37例报告在测试过程中无法闻到气味的病例中有21例被证明是厌食。此外,16个案例指出,尽管在气味测试中有反应,测试后他们没有嗅觉。
UNASSIGNED:尽管似乎可以证明与嗅觉事件相关的电位测试与无嗅觉症的诊断之间存在关系,关于其在临床实践中的使用仍在进行中的研究。一起执行主观和电生理测试以检测法医事件后发生的嗅觉功能障碍能够提供更可靠的诊断结果。
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