Jung R, Berger W
Arch Psychiatr Nervenkr (1970). 1979 Dec;227(4):279-300. doi: 10.1007/BF00344814.
For the fiftieth anniversary of Berger's first EEG publication, some of his early recordings obtained between 1924 and 1931 are discussed and illustrated. Examples of his protocols from the Freiburg Berger Archives are reproduced. Three types of Berger's early investigations are described: (1) String-galvanometer recordings obtained between 1924 and 1926, mainly from trephined patients with cerebral diseases, which usually showed brain waves slowed to 6--8 per second; (2) Direct recordings from the cortex and white matter proving the cortical origin of the EEG in 1930; (3) Typical unpublished EEG recordings of epileptics and of petit-mal attacks obtained in 1930 and 1931. Berger's first six papers published between 1929 and 1933 described nearly all the main EEG findings of cerebral diseases and the EEG alterations of normals during attention, sleep, and narcosis, but they did not report on convulsive potentials in the EEGs of epileptics. Berger had, however, obtained excellent records of epileptic EEG features, here depicted in Figs. 4 through 7. These remained unpublished until 1933 and 1938, because Berger suspected that they contained artifacts caused by blinks and facial movements which he had recorded in his controls (Fig. 4). Only in 1933, after other authors had described large amplitudes of convulsive potentials in the cortex of animals, did Berger publish parts of the EEGs of a petit-mal attack and of focal attacks in progressive paresis. In 1938, Berger presented the EEG of the beginning of a petit-mal attack with large 3/s spikes and waves recorded in 1931 which were similar to those described by Gibbs and coworkers in 1935. In 1933 and 1938, Berger interpreted the abnormal brain potentials of epileptics as signs of a preconvulsive state of the forebrain and suggested that the periods of 3/s waves were cortical correlates of an epileptic absence.
为纪念伯杰首次发表脑电图(EEG)研究成果五十周年,本文讨论并展示了他在1924年至1931年间获取的一些早期记录。文中重现了来自弗莱堡伯杰档案馆的部分实验记录。本文描述了伯杰早期的三种研究类型:(1)1924年至1926年间使用弦线电流计记录的结果,主要来自患有脑部疾病的开颅患者,这些记录通常显示脑电波减慢至每秒6 - 8次;(2)1930年通过直接记录皮层和白质,证实了脑电图起源于皮层;(3)1930年和1931年获得的癫痫患者和失神小发作的典型未发表脑电图记录。伯杰在1929年至1933年间发表的前六篇论文几乎描述了脑部疾病的所有主要脑电图发现以及正常人在注意力、睡眠和麻醉期间的脑电图变化,但未报告癫痫患者脑电图中的惊厥电位。然而,伯杰已经获得了癫痫脑电图特征的出色记录,如图4至图7所示。这些记录直到1933年和1938年才发表,因为伯杰怀疑它们包含由眨眼和面部运动引起的伪迹,他在对照实验中记录到了这些情况(图4)。直到1933年,在其他作者描述了动物皮层中惊厥电位的大幅波动之后,伯杰才发表了失神小发作和进行性麻痹局灶性发作的部分脑电图。1938年,伯杰展示了1931年记录的失神小发作开始时的脑电图,其中有大的每秒3次棘波和慢波,与吉布斯及其同事在1935年描述的相似。1933年和1938年,伯杰将癫痫患者异常的脑电位解释为前脑惊厥前期的迹象,并提出每秒3次慢波的时期是癫痫失神发作的皮层相关表现。