Kawasaki Yoko, Shinomiya Mieko, Takayanagi Mizuho, Niwa Shin-Ichi
Musasino Child Development Clinic, 12-1 Nukuikita 4 Chome, Koganei City, Tokyo, Japan.
Brain Dev. 2010 Oct;32(9):769-75. doi: 10.1016/j.braindev.2010.06.004. Epub 2010 Jul 2.
This study examined paroxysmal abnormalities and epilepsy in EEG for individuals with pervasive developmental disorders (PDD) in two parts: first with a large number of subjects (n=1624); and second with extracted subjects followed from 5 years into adolescence and beyond (n=92). Many paroxysms in PDD patients in their childhood tended to appear at various sites and the same held for paroxysms at the time of epilepsy onset. However, in adolescence and beyond, paroxysms in the frontal region prevailed as those appearing at sites other than the frontal region tended to disappear. The same held for paroxysms at the time of epilepsy onset. These paroxysms in the frontal area characteristic of PDD were named "Paroxysms at F." It was suggested that functional abnormality in the frontal region exists in PDD through paroxysmal EEG abnormalities and epilepsy.
本研究分两部分对广泛性发育障碍(PDD)个体的脑电图阵发性异常和癫痫进行了检查:第一部分有大量受试者(n = 1624);第二部分对抽取的受试者从5岁随访至青春期及以后(n = 92)。PDD患者童年期的许多发作倾向于出现在不同部位,癫痫发作时的发作情况也是如此。然而,在青春期及以后,额叶区域的发作占主导,因为出现在额叶以外部位的发作往往会消失。癫痫发作时的发作情况也是如此。PDD所特有的额叶区域的这些发作被命名为“F区发作”。研究表明,通过脑电图阵发性异常和癫痫,PDD患者额叶区域存在功能异常。