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[发育年龄多发性硬化症的视觉诱发电位参数]

[Visual evoked potential parameters in multiple sclerosis in developmental age].

作者信息

Steczkowska Małgorzata, Kroczka Sławomir, Biedroń Agnieszka

机构信息

Pracownia Neurofizjologii, Uniwersytet Jagielloński Collegium Medicum, Kraków.

出版信息

Przegl Lek. 2009;66(11):909-12.

Abstract

INTRODUCTION

Abnormal results of visual evoked potentilas (VEP) are typical for demyelinating diseases of the central nervous system, including multiple sclerosis. Elongation of P100 latency was the most frquent finding and sometimes changes in the shape of VEP responses or decrease of the amplitudes were observed.

AIM OF THE STUDY

Results of VEP in children with multiple sclerosis.

MATERIAL AND METHODS

11 patients in the developmental age with multiple sclerosis were included, the age range was 13 to 17 years, 6 girls and 5 boys, hospitalized at Department of Pediatric Neurology Chair of Pediatric and Adolescent Neurology, Jagiellonian University in the years 2004-2009. The control group consisted of 11 children with analogous age range and sex distribution. VEP were recorded during monoocular visual stimulation with black and white checkerboard pattern reversal (pattern reversal VEP). The responses were recorded from three active electrodes O1, O2 and Oz (according to the international 10/20 electrode placement system). Latencies of maximum positive deflection P100, preceding N75 component and following N135 and amplitude of N75/P100 were analyzed.

RESULTS

Elongation of P100 latency in the examined group was statistically significant when compared with controls. Differences of N75/P100 amplitudes did not differ statistically between the groups.

CONCLUSIONS

VEP are one of the most important paraclinic tests used in diagnosis of MS in children.

摘要

引言

视觉诱发电位(VEP)异常结果是中枢神经系统脱髓鞘疾病的典型表现,包括多发性硬化症。P100潜伏期延长是最常见的发现,有时还会观察到VEP反应形状的改变或波幅降低。

研究目的

多发性硬化症患儿的VEP结果。

材料与方法

纳入11例发育年龄的多发性硬化症患者,年龄范围为13至17岁,6名女孩和5名男孩,于2004年至2009年在雅盖隆大学儿科和青少年神经学系儿科神经学教研室住院。对照组由11名年龄范围和性别分布相似的儿童组成。在单眼视觉刺激黑白棋盘格模式反转(模式反转VEP)期间记录VEP。从三个活性电极O1、O2和Oz(根据国际10/20电极放置系统)记录反应。分析最大正偏转P100、前导N75成分和后续N135的潜伏期以及N75/P100的波幅。

结果

与对照组相比,受检组P100潜伏期延长具有统计学意义。两组之间N75/P100波幅差异无统计学意义。

结论

VEP是儿童多发性硬化症诊断中最重要的辅助检查之一。

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