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[经典无脑回-巨脑回的脑电图特征]

[Electroencephalographic aspects of classic agyria-pachygyria].

作者信息

Dulac O, Plouin P, Perulli L, Diebler C, Arthuis M, Jalin C

出版信息

Rev Electroencephalogr Neurophysiol Clin. 1983 Dec;13(3):232-9. doi: 10.1016/s0370-4475(83)80033-1.

Abstract

Four infants had agyria confirmed by CT scan. All were mentally retarded, microcephalic, 3 of them having characteristic facial dysmorphy and 2 infantile spasms. EEG was characterized by very high amplitude rhythms in the alpha range, associated with delta waves and with infrequent spikes. The tracing was poorly modified by sleep. Drugs reduced its amplitude and rapid rhythms appeared with benzodiazepines. The authors point to the usefulness of the EEG in suggesting diagnosis before the CT scan, as was the case in 2 patients. They point to the urgent need of studying infantile epilepsies according to etiology, and not only to seizure types.

摘要

4名婴儿经CT扫描确诊为无脑回畸形。所有患儿均有智力发育迟缓、小头畸形,其中3例有典型的面部畸形,2例有婴儿痉挛症。脑电图特征为α波范围内的高波幅节律,伴有δ波和偶发棘波。睡眠对脑电图描记影响不大。药物可降低其波幅,使用苯二氮䓬类药物时会出现快速节律。作者指出,脑电图在CT扫描前提示诊断方面有用,2例患者就是如此。他们指出,迫切需要根据病因而非仅根据发作类型来研究婴儿癫痫。

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