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阿尔茨海默型痴呆的脑电图。一项将脑电图与心理测量及定量病理数据相关联的序贯研究。

The electroencephalogram in Alzheimer-type dementia. A sequential study correlating the electroencephalogram with psychometric and quantitative pathologic data.

作者信息

Rae-Grant A, Blume W, Lau C, Hachinski V C, Fisman M, Merskey H

出版信息

Arch Neurol. 1987 Jan;44(1):50-4. doi: 10.1001/archneur.1987.00520130042015.

DOI:10.1001/archneur.1987.00520130042015
PMID:3800722
Abstract

As part of a longitudinal cohort study of dementia, 139 patients with Alzheimer's disease (dementia of the Alzheimer type, senile dementia of the Alzheimer type, and mixed type [ischemic score, 4 to 7]) and 148 age-matched control subjects were evaluated for electroencephalographic (EEG) abnormalities and their evolution. Electroencephalograms were significantly different in the two groups; EEGs worsened overall in the two groups during a period of one to four years, but most subjects showed no alteration in their EEGs. Some patients showed improvement in their EEG findings during the follow-up period. A strong correlation between EEG grade and psychometric scores was consistently found over sequential studies. In a subgroup of patients on whom autopsies were performed, morphometric neuron loss correlated significantly with EEG severity.

摘要

作为一项痴呆症纵向队列研究的一部分,对139例阿尔茨海默病患者(阿尔茨海默型痴呆、老年性阿尔茨海默型痴呆和混合型[缺血评分,4至7])和148例年龄匹配的对照受试者进行了脑电图(EEG)异常及其演变情况的评估。两组的脑电图有显著差异;在一至四年的时间里,两组的脑电图总体上都有所恶化,但大多数受试者的脑电图没有变化。一些患者在随访期间脑电图结果有所改善。在连续的研究中,始终发现脑电图分级与心理测量分数之间存在很强的相关性。在进行尸检的患者亚组中,形态学神经元丢失与脑电图严重程度显著相关。

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