Keski-Säntti P, Kovala T, Holm A, Hyvärinen H K, Sainio M
Department of Neurology, Jorvi Hospital, Helsinki University Central Hospital, Espoo, Finland.
Hum Exp Toxicol. 2008 Apr;27(4):315-20. doi: 10.1177/0960327107082231.
The aim of this study was to characterize the quantitative analyzed EEG (electroencephalogram) findings (qEEG) in chronic solvent encephalopathy (CSE) patients and study whether the qEEG findings associate with the duration and intensity of the solvent exposure. Also, the diagnostic value of qEEG in CSE is discussed. The EEG of 47 male CSE patients was analyzed. The laboratory's own reference EEG values of 24 healthy male subjects formed the laboratory control group. We also used an age-matched control group of 100 male blue-collar workers without occupational solvent exposure. The main finding of our study was that the power of the frontal theta band is increased in the CSE patient group compared with the laboratory control group. This suggests that the frontal cortex may be susceptible to the noxious effects of solvents. However, this difference was not seen in comparison with the matched control group, and thus, the connection with solvent effects remains uncertain. The variables indicating the level of solvent exposure did not associate with the power of the theta activity in the frontal area. Because of the small amount and unspecificity of the observed abnormalities, qEEG cannot be recommended to be used in the clinical diagnostics of solvent encephalopathy.
本研究的目的是描述慢性溶剂性脑病(CSE)患者的定量分析脑电图(qEEG)结果,并研究qEEG结果是否与溶剂暴露的持续时间和强度相关。此外,还讨论了qEEG在CSE中的诊断价值。对47例男性CSE患者的脑电图进行了分析。该实验室24名健康男性受试者自身的参考脑电图值构成了实验室对照组。我们还使用了100名无职业性溶剂暴露的男性蓝领工人作为年龄匹配的对照组。我们研究的主要发现是,与实验室对照组相比,CSE患者组额叶θ频段的功率增加。这表明额叶皮质可能易受溶剂有害影响。然而,与匹配对照组相比未发现这种差异,因此,与溶剂效应的关联仍不确定。表明溶剂暴露水平的变量与额叶区域θ活动的功率无关。由于观察到的异常数量少且不具特异性,不建议将qEEG用于溶剂性脑病的临床诊断。