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[脑电图在甲状旁腺疾病和/或基底节对称性钙化(法尔综合征)中的价值。结合个人病例的文献综述]

[Value of EEG in parathyroid gland disorders and/or symmetrical calcinosis of the basal ganglia (Fahr syndrome). Review of the literature with personal cases].

作者信息

Schmid H, Haller R, König P

出版信息

Wien Klin Wochenschr. 1986 Aug 8;98(15):486-90.

PMID:3765636
Abstract

We evaluated the diagnostic value of EEG tracings in cases of non-arteriosclerotic symmetrical calcification of the basal ganglia (Fahr's syndrome). The group of 41 tracings was composed of probands and patients of a family with hereditary occurrence of the syndrome and other patients where the characteristic calcifications were discovered by chance or in CT screening of persons who had undergone thyroidectomy. The comparison of our EEG results with those presented in the relevant literature yielded no discernable diagnostic value of the investigation. All kinds of alterations of central electrophysiological activity seem possible, at least in our collection, similar to previous findings, but no characteristic EEG pattern associated with Fahr's syndrome was seen. Only a vague correlation of alterations to the age of patient could be surmised, this being, of course, wholly unspecific. Thus psychopathology, neurological data and CT are the prime techniques for diagnosis of Fahr's syndrome, the EEG so far offering only marginal assistance.

摘要

我们评估了脑电图描记在基底节非动脉硬化性对称性钙化(法尔综合征)病例中的诊断价值。这41份脑电图描记来自该综合征遗传性发病家族的先证者和患者,以及其他偶然发现特征性钙化的患者,或在接受甲状腺切除术者的CT筛查中发现钙化的患者。将我们的脑电图结果与相关文献中的结果进行比较,未发现该检查有明显的诊断价值。至少在我们收集的病例中,中枢电生理活动的各种改变似乎都有可能,这与之前的研究结果相似,但未发现与法尔综合征相关的特征性脑电图模式。只能推测改变与患者年龄之间存在模糊的相关性,当然,这完全不具有特异性。因此,精神病理学、神经学数据和CT是诊断法尔综合征的主要技术,脑电图目前仅提供有限的帮助。

相似文献

1
[Value of EEG in parathyroid gland disorders and/or symmetrical calcinosis of the basal ganglia (Fahr syndrome). Review of the literature with personal cases].[脑电图在甲状旁腺疾病和/或基底节对称性钙化(法尔综合征)中的价值。结合个人病例的文献综述]
Wien Klin Wochenschr. 1986 Aug 8;98(15):486-90.
2
[Clinical early symptoms and CT findings in Fahr syndrome].
Nervenarzt. 1986 Oct;57(10):583-8.
3
[Psychotic disorder induced by Fahr's syndrome: a case report].[法尔氏综合征所致精神障碍:一例报告]
Encephale. 2014 Jun;40(3):271-5. doi: 10.1016/j.encep.2013.04.012. Epub 2013 Jun 28.
4
[Psychopathology of Fahr syndrome].[法尔综合征的精神病理学]
Nervenarzt. 1984 Nov;55(11):607-12.
5
Fahr's disease - a model of neuropsychiatric illness with cognitive and psychotic symptoms.
Acta Psychiatr Scand. 2010 Jan;121(1):78. doi: 10.1111/j.1600-0447.2009.01419.x.
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[Neuropsychiatric symptoms revealing pseudohypoparathyroidism with Fahr's syndrome].
Encephale. 2011 Feb;37(1):54-8. doi: 10.1016/j.encep.2010.03.001.
7
Fahr's syndrome presenting with pure and progressive presenile dementia.以单纯性进行性早老性痴呆为表现的法尔氏综合征。
Neurol Sci. 2005 Dec;26(5):367-9. doi: 10.1007/s10072-005-0493-7.
8
[Results of a study of a family with aggregated occurrence of bilateral symmetrical basal ganglia calcinosis].
Eur Arch Psychiatry Neurol Sci. 1985;234(5):325-34. doi: 10.1007/BF00381044.
9
[Fahr's disease accompanying to lung cancer].
Tuberk Toraks. 2010;58(3):316-20.
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A Case of Seizure Revealing Fahr's Syndrome with Primary Hypoparathyroidism.一例以癫痫发作起病并伴有原发性甲状旁腺功能减退的法尔氏综合征病例。
Am J Case Rep. 2018 Dec 1;19:1430-1433. doi: 10.12659/AJCR.913382.

引用本文的文献

1
Fahr Syndrome - an Important Piece of a Puzzle in the Differential Diagnosis of Many Diseases.法尔综合征——多种疾病鉴别诊断难题中的重要一环。
Pol J Radiol. 2017 Sep 15;82:490-493. doi: 10.12659/PJR.902024. eCollection 2017.