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[播散性脑脊髓炎的脑电图变化与脑磁共振断层扫描结果的比较]

[EEG changes in disseminated encephalomyelitis in comparison with the findings of cerebral magnetic resonance tomography].

作者信息

Bräu H, Baum K, Schörner W

出版信息

EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1986 Mar;17(1):20-6.

PMID:3084200
Abstract

The electroencephalograms of 40 patients with acute symptoms of multiple sclerosis, 10 of whom presented with primary manifestation, were compared with the findings in cerebral nuclear magnetic resonance imaging. 32.5% of the patients EEGs showed abnormalities. Considering borderline findings the percentage of remarkable EEGs mounted to 60%. All of the patients presented periventricular lesions in NMR. In addition to the periventricular abnormalities between 1 and 26 district lesions per patient were found (mean = 6.5; Median = 5). In the patients group with five and more non-periventricular lesions, there were significantly more pathologic EEG-findings (p less than 0.05) than in the group with fewer lesions. Statistical correlations between EEG-abnormalities and the extent of functional deficit could not be substantiated. Neither could type and locality of EEG-changes be correlated to non-periventricular lesions in NMR.

摘要

对40例有急性多发性硬化症状的患者(其中10例为首发症状)的脑电图与脑核磁共振成像结果进行了比较。32.5%的患者脑电图显示异常。若将临界结果考虑在内,显著异常脑电图的比例达60%。所有患者在核磁共振成像中均表现为脑室周围病变。除脑室周围异常外,每位患者还发现1至26个区域病变(平均=6.5;中位数=5)。在有5个及以上非脑室周围病变的患者组中,病理性脑电图结果显著多于病变较少的组(p<0.05)。脑电图异常与功能缺损程度之间的统计相关性未得到证实。脑电图变化的类型和部位也均与核磁共振成像中的非脑室周围病变无关。

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