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颞叶癫痫的电临床相关性

Electroclinical correlations in temporal lobe epilepsy.

作者信息

Popoviciu L, Roman V, Tudosie M, Aşgian B, Gaspar S, Bagathai I, Badiu G

机构信息

Department of Neurology, Medical Research Center, Tîrgu-Mureş, Romania.

出版信息

Rom J Neurol Psychiatry. 1991 Jul-Dec;29(3-4):169-81.

PMID:1820103
Abstract

2,698 epileptic patients were studied, 2,019 cases (64.3%) presenting temporal lobe epileptic attacks. Besides the routine EEG recordings and the corroboration of the clinical data with the meticulous observations by video monitoring on a closed circuit TV-screen (the patients being observe in a specially arranged room, provided with infra-red cameras), the diagnostic procedure was supported in all cases by several computerized EEG mappings, according to a model achieved by us, transcribing the primary data obtained by Hjorth's NSD parameters from the Siemens-Elema Mingograph to a Romanian M-118 microprocessor. In many cases we utilized an interface--built by us--for analog-digital conversion which allowed the direct introduction and conversion of amplitudes and frequencies from the Mingograph to the micro-computer. These were isolated to analyse the following electroclinical forms: 1. temporal absences: 360 cases (17.8%); 2. psychomotor attacks: 439 cases (21.7%) 3. psychosensory attacks: 77 cases (3.8%); 4. attacks with cognitive symptomatology: 260 cases (12.8%); 5. crises with ideative-affective symptomatology: 76 cases (3.8%); 6. vegetative attacks: 51 cases (2.5%); 7. akinetic attacks: 89 cases (4.4%); 8. focal temporal attacks secondarily generalized: 667 cases (33.0%). In 112 patients with nocturnal attacks, polysomnographic recordings were performed with sequential computerized EEG mappings during the various stages of sleep (concomitantly with the infrared video-TV monitoring).

摘要

对2698例癫痫患者进行了研究,其中2019例(64.3%)表现为颞叶癫痫发作。除了常规脑电图记录以及通过闭路电视屏幕上的视频监测细致观察来确证临床数据(患者在配备红外摄像机的特殊安排房间内接受观察)外,所有病例的诊断程序还通过几种计算机化脑电图图谱得到支持,这些图谱依据我们建立的模型生成,即将通过西门子 - 埃勒玛明记录仪的约尔特NSD参数获取的原始数据转录到罗马尼亚M - 118微处理器上。在许多情况下,我们使用了自己构建的用于模拟 - 数字转换的接口,该接口允许将明记录仪的幅度和频率直接导入并转换到微型计算机。对这些数据进行分离以分析以下几种电临床形式:1. 颞叶失神发作:360例(17.8%);2. 精神运动性发作:439例(21.7%);3. 精神感觉性发作:77例(3.8%);4. 伴有认知症状的发作:260例(12.8%);5. 伴有观念 - 情感症状的发作:76例(3.8%);6. 自主神经性发作:51例(2.5%);7. 失动性发作:89例(4.4%);8. 继发全身性发作的局灶性颞叶发作:667例(33.0%)。对112例夜间发作的患者,在睡眠的各个阶段进行了多导睡眠图记录,并同步进行计算机化脑电图图谱记录(同时进行红外视频电视监测)。

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