结核性脑膜炎患者的三相波。

Triphasic waves in a patient with tuberculous meningitis.

机构信息

Division of Neurology, Department of Internal Medicine, Toho University Ohashi Medical Center, Japan.

出版信息

J Neurol Sci. 2010 Apr 15;291(1-2):114-7. doi: 10.1016/j.jns.2009.12.027. Epub 2010 Feb 8.

DOI:10.1016/j.jns.2009.12.027

PMID:20116807

Abstract

We report on the case of a 32-year-old woman with tuberculous meningitis (TBM) with electroencephalogram (EEG) output displaying triphasic waves (TWs). The EEG on day 8 revealed generalized slowing, frontal bilateral TWs, a background of 2Hz delta waves, and no epileptiform activity. The patient's condition improved slowly with antituberculosis chemotherapy treatment. A follow-up EEG on day 34 showed marked improvement, with no TWs, background activity improved to a 12Hz symmetric alpha wave pattern, and no epileptiform activity, as before. To our knowledge, this is the first report of TWs observed in a TBM case.

摘要

我们报告了一例 32 岁女性结核性脑膜炎（TBM）患者的病例，其脑电图（EEG）表现出三相波（TWs）。第 8 天的 EEG 显示广泛减慢，双侧额部 TWs，背景为 2Hz 德尔塔波，无癫痫样活动。患者的病情在抗结核化疗治疗后缓慢改善。第 34 天的后续 EEG 显示明显改善，无 TWs，背景活动改善为 12Hz 对称的阿尔法波模式，无癫痫样活动，与之前相同。据我们所知，这是首例观察到 TBM 病例中 TWs 的报告。