Paty J, Bonnaud E, Latinville D, Brenot P, Vital C, Henry P, Faure J M
Rev Neurol (Paris). 1978 Mar;134(3):223-31.
We report a case of Jakob-Creutzfeldt's disease (amaurotic form of Heidenmain's disease) showing typical clinical, anatomical, microscopic and electrophysiologic (E.E.G, polygraph sleep recordings, Evoked Potential) signs. Changes in visual Evoked Potentials were quite specific whereas Auditory and Somesthesic E.P'. were not modified. Early elements (O, I, II, and III having a latency of less than 100 ms) were strongly developed, while later elements of the associative type were absent. The precociousness and specificity of the E.P. abnormalities are stressed in the differential diagnosis of J.-C's disease from other insanities, or from cortical blindness of other aetiology. The physiopathologic implications of electrophysiological data is discussed to illustrate the possibility of using Evoked Potentials to help resolve the problems of functional cerebral stratigraphy in man.
我们报告一例雅各布 - 克雅氏病(海登海因病的黑蒙型),其呈现出典型的临床、解剖、微观及电生理(脑电图、多导睡眠记录、诱发电位)体征。视觉诱发电位的变化颇为特异,而听觉和躯体感觉诱发电位未发生改变。早期成分(潜伏期小于100毫秒的O、I、II和III波)强烈显现,而后期的联合型成分则缺失。在将克雅氏病与其他精神错乱或其他病因导致的皮质盲进行鉴别诊断时,强调了诱发电位异常的早熟性和特异性。讨论了电生理数据的病理生理意义,以说明利用诱发电位有助于解决人类大脑功能分层问题的可能性。