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神经白塞病综合征中脑电图与临床病理变化的相关性

Correlation between EEG and clinicopathological change in neuro-Behçet's syndrome.

作者信息

Matsumoto K

出版信息

Folia Psychiatr Neurol Jpn. 1984;38(1):65-79. doi: 10.1111/j.1440-1819.1984.tb00356.x.

DOI:10.1111/j.1440-1819.1984.tb00356.x
PMID:6537394
Abstract

The serial EEGs on 10 cases of neuro-Behcet's syndrome have been investigated and were compared with the clinical symptomatology and autopsy findings in 4 cases. In 8 cases, the EEGs showed a mild to moderate increase in slowed alpha and theta waves and in 5 cases diffuse alpha patterns. In 2 cases, large slow wave patterns were observed and in Case 10, large slow waves changed into low voltage fast dominant patterns following the status epilepticus. In all the cases, the EEG changes seemed to be well correlated with the clinical symptoms. Our present study suggested that the diffuse alpha patterns were only seen in cases with the least affected brain stem diffuse projection system. From the investigation of the sequential alterations of large slow waves in Case 10, it was suggested that a synchronization mechanism would lie in the medulla oblongata.

摘要

对10例神经白塞病患者的系列脑电图进行了研究,并与4例患者的临床症状和尸检结果进行了比较。8例患者脑电图显示α波和θ波轻度至中度减慢增加,5例患者出现弥漫性α波型。2例患者观察到大量慢波型,10号病例在癫痫持续状态后,大量慢波转变为低电压快波为主型。在所有病例中,脑电图变化似乎与临床症状密切相关。我们目前的研究表明,弥漫性α波型仅见于脑干弥漫性投射系统受累最轻的病例。通过对10号病例中大量慢波的连续变化进行研究,提示延髓存在同步机制。

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