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[脑电图的计算机分析辅助苯丙酮尿症饮食治疗的终止]

[Computer analysis of the EEG as an aid in terminating diet therapy in phenylketonuria].

作者信息

Donker D N, Reits D, Storm van Leeuwen W, Van Sprang F J, Wadman S K

出版信息

Rev Electroencephalogr Neurophysiol Clin. 1978 Jan-Mar;8(1):55-60. doi: 10.1016/s0370-4475(78)80119-1.

DOI:10.1016/s0370-4475(78)80119-1
PMID:663350
Abstract

In 6 patients with PKU, being on a low phenylalanine diet, the effect of reintroduction of phenylalanine on the E.E.G. was studied. The children, therefore, received daily loads of 100 or 150 mg phenylalanine/Kg bodyweight, equally divided over the meals. Computerized spectral analysis of the E.E.G's was performed during and after the loading tests. This made quantification possible of the following E.E.G. changes: 1) the increase of activities in the theta frequency band (4-8 Hz); 2) the frequency change of the alpha rhythm; 3) the change of the degree of synchrony between identical frequencies occurring in different derivations. A linear relation was found between these quantified E.E.G. parameters and the phenylalanine blood-level. After stopping the loading test E.E.G. abnormalities reversed suggesting that they could be considered as a measure for the degree of intoxication caused by the phenylalanine and/or its metabolites. It is suggested that the E.E.G. data may be useful parameters for alleviation or termination of the diet.

摘要

对6名接受低苯丙氨酸饮食的苯丙酮尿症患者,研究了重新引入苯丙氨酸对脑电图的影响。因此,这些儿童每天摄入100或150毫克/千克体重的苯丙氨酸,每餐平均分配。在负荷试验期间及之后对脑电图进行计算机频谱分析。这使得对以下脑电图变化进行量化成为可能:1)θ频段(4-8赫兹)活动增加;2)α节律的频率变化;3)不同导联中相同频率之间同步程度的变化。发现这些量化的脑电图参数与血液苯丙氨酸水平之间存在线性关系。停止负荷试验后,脑电图异常逆转,这表明它们可被视为苯丙氨酸和/或其代谢产物中毒程度的一种度量。建议脑电图数据可能是减轻或终止饮食的有用参数。

相似文献

1
[Computer analysis of the EEG as an aid in terminating diet therapy in phenylketonuria].[脑电图的计算机分析辅助苯丙酮尿症饮食治疗的终止]
Rev Electroencephalogr Neurophysiol Clin. 1978 Jan-Mar;8(1):55-60. doi: 10.1016/s0370-4475(78)80119-1.
2
Computer analysis of the EEG as an aid in the evaluation of dietetic treatment in phenylketonuria.脑电图的计算机分析作为苯丙酮尿症饮食治疗评估的辅助手段。
Electroencephalogr Clin Neurophysiol. 1979 Feb;46(2):205-13. doi: 10.1016/0013-4694(79)90070-1.
3
[E.E.G. appearances in hyperphenylalaninaemia (author's transl)].
Rev Electroencephalogr Neurophysiol Clin. 1978 Jan-Mar;8(1):45-53. doi: 10.1016/s0370-4475(78)80118-x.
4
Termination of strict diet therapy in phenylketonuria. A study on EEG sleep patterns and computer spectral analysis.苯丙酮尿症严格饮食疗法的终止。一项关于脑电图睡眠模式和计算机频谱分析的研究。
Neuropediatrics. 1985 May;16(2):92-7. doi: 10.1055/s-2008-1052550.
5
EEG as a possible prognostic tool in phenylketonuria.脑电图作为苯丙酮尿症一种可能的预后评估工具。
Electroencephalogr Clin Neurophysiol. 1983 Jan;55(1):60-8. doi: 10.1016/0013-4694(83)90147-5.
6
Electroencephalographic findings in children with phenylketonuria.苯丙酮尿症患儿的脑电图检查结果
Am J Dis Child. 1975 Aug;129(8):896-900. doi: 10.1001/archpedi.1975.02120450012004.
7
Loss of intellectual function in children with phenylketonuria after relaxation of dietary phenylalanine restriction.苯丙酮尿症患儿放松饮食苯丙氨酸限制后智力功能丧失。
Pediatrics. 1985 Feb;75(2):226-32.
8
Event-related potential correlates of selective processing in early- and continuously-treated children with phenylketonuria: effects of concurrent phenylalanine level and dietary control.事件相关电位与早治疗和持续治疗苯丙酮尿症儿童选择性加工的相关性:同时的苯丙氨酸水平和饮食控制的影响。
Mol Genet Metab. 2010;99 Suppl 1:S10-7. doi: 10.1016/j.ymgme.2009.10.177.
9
EEGs in phenylketonuria. I: Follow-up to adulthood; II: Short-term diet-related changes in EEGs and cognitive function.苯丙酮尿症的脑电图。I:成年期随访;II:脑电图和认知功能与饮食相关的短期变化。
Dev Med Child Neurol. 1993 Jan;35(1):54-64. doi: 10.1111/j.1469-8749.1993.tb11552.x.
10
Long-term development of intelligence (IQ) and EEG in 34 children with phenylketonuria treated early.34例早期治疗的苯丙酮尿症患儿智力(IQ)和脑电图的长期发育情况
Eur J Pediatr. 1988 May;147(4):361-7. doi: 10.1007/BF00496411.

引用本文的文献

1
Diet termination in children with phenylketonuria: a review of psychological assessments used to determine outcome.苯丙酮尿症患儿的饮食终止:用于确定结果的心理评估综述
J Inherit Metab Dis. 1980;3(4):149-53. doi: 10.1007/BF02312549.