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[癫痫患者自由基病理学的临床-脑电图相关性]

[Clinico-electrographic correlates of free radical pathology in epileptic patients].

作者信息

Shakarashvili R R

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1987;87(6):825-8.

PMID:3630490
Abstract

In a series of 62 patients with variable forms of epileptic attacks the electrochemiluminescent (ECL) parameters of free radical oxidation (FRO) and antioxidant activity (AOA), the content of malonic dialdehyde (MDA) and free fatty acids (FFA) in the blood and cerebrospinal fluid (CSF) were collated with clinico-electroencephalographic characteristics of the disease. The CSF of all patients showed intensified FRO and inhibited AOA which significantly prevailed in cases of uncontrolled paroxysms; for all cases a progressive course of the disease with the development of encephalopathy and psychopathologic syndromes was characteristic, as well as generalized and frequent attacks, the presence of extraparoxysmal epileptic patterns on the ECG and the postparoxysmal syndrome. The spectrum of FRO and AOA parameters in patients with "forced normalization" and signs of drug poisoning are similar to quantitative characteristics of FRO and AOA in cases of frequent attacks and EEG characteristics of the paroxysmal type. The results of the study allow the conclusion that FRO and the electrochemical substrate of epileptization are two parallel closely related processes.

摘要

在一组62例患有不同形式癫痫发作的患者中,将自由基氧化(FRO)和抗氧化活性(AOA)的电化学发光(ECL)参数、血液和脑脊液(CSF)中丙二醛(MDA)和游离脂肪酸(FFA)的含量与该疾病的临床脑电图特征进行了对照。所有患者的脑脊液均显示FRO增强且AOA受到抑制,这在未得到控制的发作病例中尤为明显;对于所有病例而言,该疾病具有进展性病程,伴有脑病和精神病理综合征的发展,以及全身性和频繁发作、心电图上存在发作间期癫痫样放电和发作后综合征。“强制正常化”和药物中毒迹象患者的FRO和AOA参数谱类似于频繁发作病例中FRO和AOA的定量特征以及发作类型的脑电图特征。研究结果得出结论,FRO和癫痫发作的电化学底物是两个平行且密切相关的过程。

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