Hermann W, Villmann T, Wagner A
Klinik und Poliklinik für Neurologie, Universität Leipzig.
Nervenarzt. 2003 Oct;74(10):881-7. doi: 10.1007/s00115-003-1564-8.
In addition to hepatic and extrapyramidal motor clinical symptoms, Wilson's disease patients also exhibit subclinical disorders of other central nervous pathways. In this study, an impairment profile is described by means of eight electrophysiological tests (EAEP, MSEP, TSEP, T-VEP, MEP, EEG, heart frequency variability, and SSR) for 37 patients (28 with neurological, nine with tnon-neurological form) undergoing long-term drug therapy. The occurrence in 64.3% of a delayed wave III and/or IPL III-V prolongation in patients with the neurological form makes pathological FAEP the most common form of the disorder, followed by disorders in MSEP, TSEP, MEP, and T-VEP. Patients with the non-neurological form usually have normal values, although latency prolongations occur in isolated cases. The range of evoked potential findings is characterised primarily by latency prolongations, i.e. a demyelinising impairment type, and significant losses of potential hardly occur (except in the MEP). The electrophysiological impairment profile does not include EEG changes or vegetative disorders.
除了肝脏和锥体外系运动临床症状外,威尔逊病患者还表现出其他中枢神经通路的亚临床紊乱。在本研究中,通过八项电生理测试(听觉脑干诱发电位、体感诱发电位、三叉神经体感诱发电位、闪光视觉诱发电位、运动诱发电位、脑电图、心率变异性和交感皮肤反应)对37例接受长期药物治疗的患者(28例患有神经型,9例患有非神经型)进行了损伤情况描述。神经型患者中64.3%出现III波延迟和/或IPL III-V延长,使病理性听觉脑干诱发电位成为最常见的紊乱形式,其次是体感诱发电位、三叉神经体感诱发电位、运动诱发电位和闪光视觉诱发电位紊乱。非神经型患者通常值正常,尽管个别病例会出现潜伏期延长。诱发电位结果的范围主要以潜伏期延长为特征,即脱髓鞘损伤类型,几乎不会出现电位显著丧失(运动诱发电位除外)。电生理损伤情况不包括脑电图变化或自主神经紊乱。