Soejima T, Okuda S, Ishikawa T, Matsuoka S
No To Shinkei. 1987 Jun;39(6):553-60.
The effect of intravenous infusion of 10% glycerol on polymorphic delta waves of EEG was investigated in 13 patients (15 studies) with brain tumors in cerebral hemisphere. The delta waves were analyzed by two-dimensional EEG topography and power spectrum of delta waves (P(delta)) over the tumor, adjacent, and distant regions in the same hemisphere to the tumor, and ipsi- and contralateral hemispheres to the tumor. The data focus of EEG topography was well corresponded to the tumor and surrounding brain edema which visualized by x-ray CT-scan. In the patient with brain tumors with marked brain edema (group A, 11 studies), EEG topography showed marked reduction of delta focus within 20 minutes from the end of intravenous infusion of glycerol, and returned to preinfusion distribution within 60 minutes. In patients with absent to minimum brain edema (group B, 4 studies), delta focus showed the tendency to enlarge and returned to preinfusion state at 60 minutes after the end of glycerol infusion. In patients of group A, P(delta) of ipsilateral hemisphere to tumor decreased at the end of glycerol infusion, and showing maximal reduction ratio (30%, p less than 0.01) at 20 minutes, re-increased there-after. In group B, P(delta) of ipsilateral hemisphere showed no definite changes after the glycerol infusion. P(delta) of contralateral hemispheres in patients of both group A and B, showed similar reduction ratio and time course to those of ipsilateral hemisphere of group A.(ABSTRACT TRUNCATED AT 250 WORDS)
对13例大脑半球患有脑肿瘤的患者(共进行了15项研究),研究了静脉输注10%甘油对脑电图多形性δ波的影响。通过二维脑电图地形图以及肿瘤同侧和对侧半球、肿瘤区域、相邻区域和同一半球远离肿瘤区域的δ波功率谱(P(δ))来分析δ波。脑电图地形图的数据焦点与通过X线CT扫描显示的肿瘤及周围脑水肿情况高度吻合。在脑水肿明显的脑肿瘤患者(A组,11项研究)中,脑电图地形图显示在静脉输注甘油结束后20分钟内δ波焦点显著减少,并在60分钟内恢复到输注前的分布状态。在脑水肿轻微或无水肿的患者(B组,4项研究)中,δ波焦点有扩大趋势,并在甘油输注结束后60分钟恢复到输注前状态。在A组患者中,肿瘤同侧半球的P(δ)在甘油输注结束时下降,并在20分钟时显示出最大降低率(30%,p<0.01),此后再次升高。在B组中,甘油输注后同侧半球的P(δ)无明显变化。A组和B组患者对侧半球的P(δ),其降低率和时间进程与A组同侧半球相似。(摘要截选至250字)