Yaqub B A, Kabiraj M M, Shamena A, al-Bunyan M, Daif A, Tahan A
Division of Neurology and Neurophysiology, King Khalid University Hospital, Riyadh, Saudi Arabia.
Electroencephalogr Clin Neurophysiol. 1992 Nov-Dec;84(6):549-52. doi: 10.1016/0168-5597(92)90044-c.
Evoked potential audiometry and brain-stem auditory evoked potentials were evaluated in 15 patients with systemic brucellosis in whom brucella meningitis was suspected clinically. In 8 patients cerebrospinal fluid (CSF) was abnormal with high brucella titre, and evoked potentials were abnormal in all of them. In 7 patients the CSF was normal and evoked potentials were also normal. Brain-stem auditory evoked potential abnormalities were categorised into 4 types: (1) abnormal wave I, (2) abnormal wave V, both irreversible, (3) prolonged I-III interpeak latencies, and (4) prolonged I-V interpeak latencies, both reversible. These findings are of important diagnostic value and correlate well with the clinical features, aetiopathogenesis and final outcome.
对15例临床疑似布鲁氏菌性脑膜炎的全身性布鲁氏菌病患者进行了诱发电位测听和脑干听觉诱发电位评估。8例患者脑脊液(CSF)异常,布鲁氏菌滴度高,且所有患者的诱发电位均异常。7例患者脑脊液正常,诱发电位也正常。脑干听觉诱发电位异常分为4种类型:(1)I波异常,(2)V波异常,两者均不可逆,(3)I-III峰间潜伏期延长,(4)I-V峰间潜伏期延长,两者均可逆。这些发现具有重要的诊断价值,且与临床特征、病因发病机制及最终结果密切相关。