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[多发性硬化症中模式诱发视觉电位随疾病发展的变化]

[Changes in pattern evoked visual potentials in multiple sclerosis in respect to development of illness].

作者信息

Koerner E, Ladurner G, Flooh E, Reinhart B, Wolf R, Lechner H

出版信息

EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1982 Jun;13(2):73-6.

PMID:6811242
Abstract

In 43 patients (28 female, 15 male) with a definitive diagnosis of disseminated sclerosis visual evoked potentials were tested several times with pattern stimulation. The average duration of the disease was 7 years before the first pattern evoked potential. The latency of the evoked potential, estimated from the first positive peak, was in the pathological range in 30 patients in the first investigation, whereas in 38 patients there was a delayed latency in the last measurement. There was an average period of 1.5 years between the first and last investigation. In 20 cases the evoked potentials showed a continuous delay in the latency. Two patients maintained the original pathological values and in 7 cases the control results were below that of the first investigation. In 9 cases it was not possible to show a definite result because of the marked fluctuation in the values. 5 times in the entire investigation was a pathological result absent. There was a clear correlation between both the duration of the disease and the presence of a delayed latency, and the frequency of episodes and a pathological latency.

摘要

在43例确诊为播散性硬化症的患者(28例女性,15例男性)中,采用图形刺激多次检测视觉诱发电位。首次图形诱发电位检查前疾病的平均病程为7年。从第一个正向波峰估计的诱发电位潜伏期,在首次检查时有30例患者处于病理范围,而在最后一次测量时有38例患者潜伏期延迟。首次和最后一次检查之间平均间隔1.5年。20例患者的诱发电位潜伏期持续延迟。2例患者维持最初的病理值,7例患者的对照结果低于首次检查。9例患者由于数值波动明显无法得出明确结果。在整个检查过程中,有5次未出现病理结果。疾病持续时间与潜伏期延迟的存在、发作频率与病理潜伏期之间存在明显相关性。

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