Gehlen W, Stefan H
EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1978 Mar;9(1):24-9.
EMG findings of two patients (one 43 years old male; one 47 years old female) with Typ-II-glycogenosis are referred. The diagnosis is proofed by enzym histochemical, ultrastructural and biochemical investigations. The EMG findings were characterized by vivacious spontaneous activity and the high rate of different EMG pattern in one patient. Beside myopathic patterns existed neurogenic patterns and spontaneous activities as pseudomyotonic discharges, fibrillations and positive sharp-waves. Case I showed myotonic discharges too. These EMG findings are compared with the histological findings. Signs of differentiation between myotonic and pseudomyotonic discharges especially in view of Typ II glycogenosis is discussed. The EMG findings of the two investigated patients are compared with others of the literature.
报告了两名患有II型糖原贮积病患者(一名43岁男性;一名47岁女性)的肌电图检查结果。通过酶组织化学、超微结构和生化检查确诊。一名患者的肌电图检查结果表现为活跃的自发活动和不同肌电图模式的高发生率。除了肌病模式外,还存在神经源性模式以及如假肌强直放电、纤颤和正锐波等自发活动。病例I也显示出肌强直放电。将这些肌电图检查结果与组织学检查结果进行了比较。讨论了肌强直和假肌强直放电之间的鉴别征象,特别是针对II型糖原贮积病。将两名被调查患者的肌电图检查结果与文献中其他患者的结果进行了比较。