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患有特发性和症状性癫痫的狗的脑电图记录:间歇性短时间脑电图方案的诊断价值,辅以两种激活技术。

Electroencephalographic recordings in dogs suffering from idiopathic and symptomatic epilepsy: diagnostic value of interictal short time EEG protocols supplemented by two activation techniques.

机构信息

Department of Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, D-30559 Hannover, Germany.

出版信息

Vet J. 2012 Jul;193(1):185-92. doi: 10.1016/j.tvjl.2011.10.006. Epub 2011 Nov 17.

DOI:10.1016/j.tvjl.2011.10.006
PMID:22099183
Abstract

The diagnostic value of interictal short time electroencephalographic (EEG) recordings in epileptic dogs under general anaesthesia with propofol and the muscle relaxant rocuronium bromide was investigated. Two activation techniques, namely photic stimulation and hyperventilation, were evaluated for their potential to enhance the diagnostic validity of these recordings. Sixty-one dogs suffering from idiopathic epilepsy and 28 dogs suffering from symptomatic epilepsy were included. Electroencephalograms were recorded using five subdermal EEG electrodes (F3, F4, Cz, O1 and O2). All 89 EEGs were analysed visually and 61 were also evaluated quantitatively with fast Fourier transformation. Interictal paroxysmal epileptiform activity was found in 25% of idiopathic and in 29% of symptomatic epileptic dogs. Quantitative analysis of the EEGs (qEEGs) detected significant differences of frequency analysis in single reading points without any continuous changes of frequency bands. A comparison between healthy and affected brain hemispheres in seven dogs with focal lesions of one hemisphere did not show any significant differences in qEEG analysis. qEEG was not more sensitive than visual evaluation. Despite the use of activation techniques, the results showed that short time EEG recordings in epileptic dogs can detect interictal epileptic activity in less than one third of all seizuring dogs and is not a useful screening method.

摘要

在丙泊酚和罗库溴铵全身麻醉下,研究了间歇性短时间脑电图 (EEG) 记录在癫痫犬中的诊断价值。评估了两种激活技术,即光刺激和过度通气,以增强这些记录的诊断有效性。共有 61 只患有特发性癫痫的犬和 28 只患有症状性癫痫的犬纳入研究。使用 5 个皮下 EEG 电极 (F3、F4、Cz、O1 和 O2) 记录 EEG。所有 89 个 EEG 均进行视觉分析,其中 61 个 EEG 还通过快速傅里叶变换进行定量评估。在 25%的特发性癫痫犬和 29%的症状性癫痫犬中发现了间歇性阵发性癫痫样活动。qEEG(定量脑电图)分析显示,在没有任何频带连续变化的情况下,在单个读取点的频率分析中存在显著差异。对 7 只一侧半球有局灶性病变的犬进行健康和受影响半球之间的比较,qEEG 分析未显示任何显著差异。qEEG 并不比视觉评估更敏感。尽管使用了激活技术,但结果表明,在所有癫痫犬中,短时间 EEG 记录只能在不到三分之一的癫痫发作犬中检测到间歇性癫痫活动,因此不是一种有用的筛查方法。

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