一名 8 岁 5 个月大的男孩，脑电图出现三相波的基底节病变。
An 8-Year 5-Month-Old Boy with a Basal Ganglia Lesion with Triphasic Waves on Electroencephalogram.
机构信息
Department of Pediatrics, West China Second University Hospital, Sichuan University, 610017 Chengdu, Sichuan, China; Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, 610017 Chengdu, Sichuan, China.
Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, 610072 Chengdu, Sichuan, China.
出版信息
Actas Esp Psiquiatr. 2024 Oct;52(5):741-747. doi: 10.62641/aep.v52i5.1741.
BACKGROUND
Triphasic waves (TWs) on electroencephalograms (EEGs) have predominantly been observed in adults, often associated with Creutzfeldt‒Jakob disease and metabolic encephalopathy. However, TWs have also been linked to various nonmetabolic and structural abnormalities. Additionally, reports of TWs in children are rare.
CASE PRESENTATION
We present the case of an 8-year and 5-month-old boy with basal ganglia lesion who exhibited TWs in the local C3 lead on electroencephalography. Subsequent EEGs revealed no additional abnormalities. During the follow-up at 1 year and 8 months, there was no significant change in the patient's condition.
CONCLUSION
Triphasic waves can occur in children with basal ganglia lesions, but their underlying causes may differ from those previously reported. Further research is needed to elucidate the mechanisms and clinical significance of TWs in pediatric patients.
背景
脑电双频指数（EEG）中的三相波（TWs）主要在成年人中观察到，常与克雅氏病和代谢性脑病有关。然而，TWs 也与各种非代谢性和结构性异常有关。此外，儿童 TWs 的报道很少。
病例介绍
我们报告了一例 8 岁零 5 个月的基底节病变男孩，其脑电图局部 C3 导联出现 TWs。随后的脑电图没有发现其他异常。在 1 年零 8 个月的随访中，患者病情没有明显变化。
结论
TWs 可发生于基底节病变的儿童，但潜在病因可能与以往报道的不同。需要进一步研究阐明 TWs 在儿科患者中的机制和临床意义。
Zotero 插件