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一种独特的脑电图特征:节律性颞叶θ波爆发。

A distinctive electrographic entity: bursts of rhythmical temporal theta.

作者信息

Maynard S D, Hughes J R

出版信息

Clin Electroencephalogr. 1984 Jul;15(3):145-50. doi: 10.1177/155005948401500305.

DOI:10.1177/155005948401500305
PMID:6467626
Abstract

The goal of this study was to investigate the electro-clinical correlations of a distinctive EEG pattern: bursts of rhythmic temporal theta (BORTT). Patients (260) with this pattern were compared to 4 control groups. The peak age in patients with BORTT was in the 50's, appearing especially in black females. The incidence of this pattern in our randomly selected patient group was significantly greater than in a group without evidence of organic cerebral disease. BORTT had a marked preference for the left temporal area (93%), as opposed to the right (30%). In 1/3 of patients, no other EEG finding appeared and in an equal number other mild slow wave abnormalities were seen. Evidence of some kind of vascular disorder (33%) or trauma (16%) was found in nearly 1/2 of the BORTT patients, but the pattern is likely associated with may kinds of etiologies. In conclusion, BORTT likely represents a mild slow wave abnormality, especially of the left temporal lobe in adults, indicating a slight neurophysiological disturbance of varying etiology, but often of vascular origin.

摘要

本研究的目的是调查一种独特的脑电图模式

节律性颞叶θ波爆发(BORTT)的电临床相关性。将有这种模式的260例患者与4个对照组进行比较。BORTT患者的年龄峰值在50多岁,尤其多见于黑人女性。在我们随机选择的患者组中,这种模式的发生率显著高于无器质性脑病证据的组。BORTT明显偏好左侧颞叶区域(93%),而右侧为(30%)。三分之一的患者没有其他脑电图发现,同样数量的患者有其他轻度慢波异常。在近一半的BORTT患者中发现了某种血管疾病(33%)或创伤(16%)的证据,但这种模式可能与多种病因相关。总之,BORTT可能代表一种轻度慢波异常,尤其是在成人左侧颞叶,表明存在不同病因的轻微神经生理紊乱,但通常起源于血管。

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