Maciejek Z
Department of Neurology, Military Clinical Hospital, Bydgoszcz.
Arch Immunol Ther Exp (Warsz). 1989;37(5-6):621-8.
We studied 30 patients with clinically definite MS according to the Mc Alpine et al. clinical criteria (20 patients received isoprinosine and 10 amantadine for a period of 12 months). In each patient pattern reversal stimulation was presented to each eye successively and potentials were recorded over both occipital lobes. For each condition the average evoked response to 200 pattern reversals was computed on DISA 2000. During the 24 month-lasting observation high clinical improvement and simultaneous shortening of the latency to peak of the first major positive component of the response in visual evoked potentials was observed in 12 cases with relapsing form treated 12 months with isoprinosine. In 3 cases, despite of the treatment with isoprinosine, new relapses were observed; in these patients delayed response in VEP was observed. In cases treated with amantadine no shortening of the latency to the major positive peak of the potential was observed, also no diminish of relapses frequency was observed.
我们根据麦卡尔平等人的临床标准研究了30例临床确诊的多发性硬化症患者(20例患者接受了12个月的异丙肌苷治疗,10例患者接受了金刚烷胺治疗)。对每位患者,依次向每只眼睛施加图形翻转刺激,并在双侧枕叶记录电位。对于每种情况,在DISA 2000上计算对200次图形翻转的平均诱发反应。在为期24个月的观察中,在12例接受异丙肌苷治疗12个月的复发型患者中,观察到临床显著改善,同时视觉诱发电位中反应的第一个主要正波峰潜伏期缩短。3例患者尽管接受了异丙肌苷治疗,但仍出现了新的复发;在这些患者中观察到视觉诱发电位反应延迟。在接受金刚烷胺治疗的患者中,未观察到电位主要正波峰潜伏期缩短,也未观察到复发频率降低。