Brimani D J
Rev Electroencephalogr Neurophysiol Clin. 1986 Dec;16(4):433-43. doi: 10.1016/s0370-4475(86)80033-8.
Among viral diseases, subacute sclerosing panencephalitis is one of the most frequent in Iran (more than 300 cases in two neurological centers and for the last ten years). This paper is devoted to an electroencephalographic study of 40 patients: visual analysis of EEG rhythms (frequency, amplitude, lability, morphology), effects of activation methods, description of pathological EEG patterns (periodic paroxysmal complexes in 38 cases; slow or fast spikes, polyspikes and bifrontal or diffuse spikewaves in 9 cases; localized comitial abnormal patterns in 5 cases; bifrontal delta rhythm in 13 cases). From this description, we suggest an hypothesis of a diffuse localisation at the origin of periodic paroxysmal patterns: the periodic discharge of immune complexes from cerebral tissue into the cerebral circulation would constitute a synchronizing system which periodically modifies the blood-brain barrier permeability.
在病毒性疾病中,亚急性硬化性全脑炎是伊朗最常见的疾病之一(在两个神经科中心,过去十年中超过300例)。本文致力于对40例患者进行脑电图研究:脑电图节律的视觉分析(频率、振幅、不稳定性、形态)、激活方法的效果、病理性脑电图模式的描述(38例出现周期性阵发性复合波;9例出现慢或快棘波、多棘波以及双额或弥漫性棘波;5例出现局限性癫痫样异常模式;13例出现双额δ节律)。基于此描述,我们提出了一个关于周期性阵发性模式起源的弥漫性定位假说:免疫复合物从脑组织周期性释放到脑循环中,将构成一个同步系统,该系统会周期性地改变血脑屏障的通透性。