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[气脑造影术在创伤性癫痫诊断及综合治疗中的应用]

[Pneumoencephalography in the diagnosis and complex treatment of traumatic epilepsy].

作者信息

Leksin E N

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1981;81(6):873-7.

PMID:6794258
Abstract

Pneumoencephalographic examinations (after endolumbar injection of 60 ml of air) were carried out in 84 patients who developed epileptic seizures after closed brain injuries. In all the patients diffuse cysto-adhesive arachnoiditis, open inner hydrocephalus, and delayed resorption of air from the cerebral ventricles were revealed roentgenologically. A therapeutic effect that manifested itself in a subjective improvement, abatement of the organic signs, cessation, diminution on the frequency, or transformation of the seizures into milder ones was noted in 77% of the patients. Data on vegetative reactions and changes of the brain bioelectrical activity under the influence of the pneumoencephalography are presented. Possible role of those changes in the mechanisms of the pneumoencephalography therapeutic action is discussed.

摘要

对84例闭合性脑损伤后发生癫痫发作的患者进行了气脑造影检查(经腰椎穿刺注入60毫升空气后)。所有患者经X线检查均发现弥漫性囊肿粘连性蛛网膜炎、开放性内脑积水以及脑室气体吸收延迟。77%的患者出现了治疗效果,表现为主观症状改善、器质性体征减轻、癫痫发作停止、发作频率降低或发作转变为较轻类型。文中还给出了气脑造影影响下的植物神经反应及脑生物电活动变化的数据,并讨论了这些变化在气脑造影治疗作用机制中的可能作用。

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1
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