Obrador S, Reinoso-Suarez F, Carbonell J, Martinez-Moreno E, Navarro H, Oliva H, Oliveros J C, Cordoba A
Electroencephalogr Clin Neurophysiol. 1975 Jan;38(1):21-6. doi: 10.1016/0013-4694(75)90206-0.
A 24-year-old man survived for 8 years after a vascular lesion of the pons and midbrain. During these years a subresponsive comatose state with neurological signs extending from the oculomotor nuclei to the trigeminal and facial nuclei levels was present. A decorticated type of rigidity, with bilateral paralysis of the limbs accompanied by pyramidal signs, was also present. The EEG during the first months showed slow activity which afterwards gradually changed towards fast and alpha activities, maintained in the course of the years. The pathological diagnosis was a fibrous endarteritis, mainly in the territory of the basilar and vertebral arteries. The pons and midbrain, presenting a large cystic infarct, were serially studied to determine the anatomical extent of the lesion. After reviewing other examples from the literature, the clinical features of our case are discussed. The evolution of the EEG is related to different structures of the ponto-mesencephalic region with different functional activities.
一名24岁男性在脑桥和中脑发生血管病变后存活了8年。在这些年里，他处于一种反应迟钝的昏迷状态，伴有从动眼神经核延伸至三叉神经和面神经核水平的神经体征。还存在一种去皮质强直类型，伴有四肢双侧瘫痪及锥体束征。最初几个月的脑电图显示为慢波活动，之后逐渐转变为快波和α波活动，并在数年中持续存在。病理诊断为纤维性动脉内膜炎，主要累及基底动脉和椎动脉区域。对呈现大面积囊性梗死的脑桥和中脑进行了系列研究，以确定病变的解剖范围。在回顾了文献中的其他病例后，对我们病例的临床特征进行了讨论。脑电图的演变与脑桥-中脑区域具有不同功能活动的不同结构有关。
