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[儿童神经系统风湿性病变顿挫型的诊断]

[Diagnosis of formes frustes of a rheumatic lesion of the nervous system in children].

作者信息

Anosov N N, Poliakova L A

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1977;77(10):1511-8.

PMID:303854
Abstract

In 77,9 +/- 3,5% of the children with an active phase of rheumatic fever, developing with a prevalent lesion of the heart and joints, symptoms of animal and vegetative nervous system lesions were found. The neurological symptoms correlated with changes of the brain bioelectrical activity. The authors point to some dynamics of symptoms under the influence of anti-rheumatic treatment. Normalization of the brain bioelectrical activity, a regress of symptoms of the vegetative nervous system and muscular hypotonia are somewhat behind the clinical recovery. The existence of pathological activity on the EEG in children after an arrest of clinical symptoms of rheumatic fever may indicate to the possible subsequent development of chorea, the diencephalic syndrome, cerebrasthenic syndrome in these children.

摘要

在77.9±3.5%处于风湿热活动期、以心脏和关节受累为主的患儿中,发现了自主神经系统和躯体神经系统受损的症状。神经症状与脑生物电活动的变化相关。作者指出了抗风湿治疗影响下症状的一些动态变化。脑生物电活动的正常化、自主神经系统症状的消退和肌肉张力减退在临床恢复之后。风湿热临床症状消失后儿童脑电图上存在病理活动,这可能表明这些儿童随后可能会出现舞蹈病、间脑综合征、脑衰弱综合征。

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