Terzano M G, Camillo Manzoni G, Mancia D, Montanari E, Lechi A
Riv Neurol. 1979 Nov-Dec;49(6):451-70.
E.E.G. features as presented by 20 patients of rheumatic chorea (15 females and 6 males, from 11 and up to 16 year old) are examined. Pathological patterns concerned 17 patients (85%); in three cases (15%) no characteristic E.E.G. enregistrations were found. Three types of pathological E.E.G. patterns are reckoned: A type (7 patients, i.e. 35%): increased amount of Posterior Slow Waves. B type (5 patients, i.e. 25%): conspicuous alterations of the alpha rhythm, and appearance of bursts of diffused, monomorphous, slow activities. C type (5 patients, i.e. 25%): inconstant outcoming by bursts, of 2--4 cycles sec. waves on posterior regions. No correlation can be established, on the ground both of E.E.G. features and clinical findings, neither between altered E.E.G. patterns and choreic movements severity, nor between localization of the former abnormalities over the scalp, and distribution of the latter. Yet, E.E.G. alterations, when present, are not to be ruled out, as they can be the demonstration of organical impairment and can give evidence about the course and recovering. To distinguish, in rheumatic chorea between clearly pathological, by the one hand, and "functional" by the other, E.E.G. features, is assumed as difficult, as subjects are in a range of ages in which cerebral biorhythms have not reached ultimate definition.
对20例风湿性舞蹈病患者(15名女性和6名男性,年龄在11岁至16岁之间)的脑电图特征进行了检查。17例患者(85%)出现病理模式;3例(15%)未发现特征性脑电图记录。病理脑电图模式分为三种类型:A 型(7例,即35%):后慢波数量增加。B型(5例,即25%):α节律明显改变,出现弥漫性、单形性慢活动爆发。C型(5例,即25%):后头部区域出现2 - 4次/秒的波爆发,出现情况不恒定。基于脑电图特征和临床发现,既无法确定异常脑电图模式与舞蹈样动作严重程度之间的相关性,也无法确定前者在头皮上的异常定位与后者分布之间的相关性。然而,脑电图改变一旦出现,就不能排除,因为它们可能是器质性损害的表现,并能为病程和恢复情况提供证据。在风湿性舞蹈病中,要区分明显病理性的脑电图特征和“功能性”的脑电图特征被认为是困难的,因为这些患者处于大脑生物节律尚未完全定型的年龄段。