Hooshmand H, Radfar F, Beckner E
Neurological Associates, Seizure Control Clinic, Vero Beach, Florida 32961.
Clin Electroencephalogr. 1989 Apr;20(2):111-20. doi: 10.1177/155005948902000208.
Neurologic and psychologic studies were done on 16 victims of alternate current electrical injuries. The patients were followed for a period of over 5 years. The findings point to a stereotyped generalized cerebral dysfunction, resulting in depression, divorce, unemployment as well as a high incidence of atypical seizures (atonic and myoclonic seizures). The EEG and CT studies were nondiagnostic. Evoked potentials revealed abnormalities in the upper cervical spinal cord and lower brain stem regions, raising the possibility that the epileptogenic focus was too deep to be recorded by standard surface EEG recording. The fact that the electrical injury patients have a high incidence of severe emotional disturbance and post-traumatic depression along with atypical seizures, in the face of nondiagnostic EEG and CT studies, may result in improper management of such patients.
对16名交流电电击伤患者进行了神经学和心理学研究。对这些患者进行了5年多的随访。研究结果表明存在一种刻板的广泛性脑功能障碍，导致抑郁、离婚、失业以及非典型癫痫发作（失张力性和肌阵挛性癫痫发作）的高发病率。脑电图（EEG）和计算机断层扫描（CT）检查未得出诊断结果。诱发电位显示上颈脊髓和脑桥下部区域存在异常，这增加了致痫灶过深以至于无法通过标准表面脑电图记录检测到的可能性。鉴于脑电图和CT检查未得出诊断结果，电击伤患者严重情绪障碍和创伤后抑郁的高发病率以及非典型癫痫发作，可能导致对此类患者的不当治疗。
