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儿童及青少年创伤性植物状态综合征的脑电图研究

Electroencephalographic investigations of traumatic apallic syndrome in childhood and adolescence.

作者信息

Nau H E, Bock W J

出版信息

Acta Neurochir (Wien). 1977;39(3-4):211-7. doi: 10.1007/BF01406731.

DOI:10.1007/BF01406731
PMID:602852
Abstract

Reports of electroencephalographic changes in cases of the traumatic apallic syndrome in children and adolescents are very rare. We tried to correlate special electroencephalographic patterns with the three different stages that are usually seen. We found high voltage subdelta and delta activity in the initial symptom complex, an EEG with dominating delta-theta activity and voltage of medium height corresponding to the fully developed stage, and a flat theta EEG in the stage of remission. The difficulties in interpretation of the changes, especially in children, are discussed. Longitudinal electroencephalographic studies are recommended for diagnosing complications, such as haematomas or palsies, and for prognosis.

摘要

儿童和青少年创伤性去大脑皮质综合征病例的脑电图变化报告非常罕见。我们试图将特殊的脑电图模式与通常所见的三个不同阶段相关联。我们发现在初始症状复合体阶段出现高电压的亚δ波和δ波活动,在完全发展阶段脑电图以占主导的δ-θ波活动和中等高度电压为特征,而在缓解阶段脑电图呈平坦的θ波。文中讨论了尤其是在儿童中解释这些变化时存在的困难。建议进行脑电图纵向研究以诊断并发症,如血肿或麻痹,并用于预后评估。

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本文引用的文献

1
[SEVERE CRANIOCEREBRAL INJURIES IN CHILDHOOD. EARLY COURSE AND FINAL RESULT FROM A SURGICAL VIEWPOINT].[儿童重度颅脑损伤。从外科角度看早期病程及最终结果]
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2
[EEG findings after cranial injuries in children].[儿童颅脑损伤后的脑电图表现]
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Head injury in children.儿童头部损伤
Electroencephalogr Clin Neurophysiol. 1955 Aug;7(3):497-8.
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[Pronounced focal changes in the electroencephalogram after slight brain injuries in children].[儿童轻度脑损伤后脑电图明显的局灶性改变]
Nervenarzt. 1955 Jun 20;26(6):250-1.
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[Apropos of 100 cases of cranio-cerebral injury in infants].[关于100例婴儿颅脑损伤]
Neurochirurgie. 1968 Sep-Oct;14(7):759-72.
6
Clinical value of the sleep electroencephalographic patterns in post-traumatic coma.创伤后昏迷中睡眠脑电图模式的临床价值
Acta Neurol Scand. 1968;44(4):495-511. doi: 10.1111/j.1600-0404.1968.tb05588.x.
7
[Skull-brain injury and EEG in childhood].[儿童期颅脑损伤与脑电图]
Zentralbl Chir. 1967 Sep 2;92(35):2458-66.
8
[Dependency of trauma sequelae on various pre-existing conditions].[创伤后遗症与各种既往存在状况的相关性]
Wien Med Wochenschr. 1967 Feb 4;117(5):120-3.
9
Clinico-electroencephalographic study of 3200 head injury cases--a comparative work between aged, adults and children.3200例头部损伤病例的临床脑电图研究——老年人、成年人和儿童之间的对比研究
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10
Sleep electroencephalographic patterns as a prognostic criteria in post-traumatic coma.睡眠脑电图模式作为创伤后昏迷的预后标准
Electroencephalogr Clin Neurophysiol. 1968 Nov;25(5):514.