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脑电图病灶的左侧化及定位与年龄和诊断的关系(作者译)

[Left-sided lateralisation and localisation of EEG foci in relation to age and diagnosis (author's transl)].

作者信息

Koufen H, Gast C

出版信息

Arch Psychiatr Nervenkr (1970). 1981;229(3):227-37.

PMID:7212987
Abstract

The retrospective evaluation of seven non-selective random tests of a total of 2543 continuously registered EEG foci shows the following results: 1. EEG foci on the left side: 1532 = 63.6%; foci on the right side: 875 = 36.4%. 2. Left preponderance in all decennia, significant from the second decennium onwards in nearly constant measurement. 3. Of all foci, 43.6% were exclusively located in temporal regions (71% on the left, 29% on the right). The foci of the occipital region decreased from 60% to 20% between the first decennium and involution, the foci of the temporal region increased from 26% to 54%. 4. Left preponderance occurred in all kinds of EEG foci, among the delta-foci only because of their accumulation in the temporal region. 5. In all diagnoses, the left side was more frequently affected, most distinctly among vascular disturbances, least distinctly among intracranial space-occupying lesions. 6. Six of seven EEG examiners showed significant left preponderance. The extent of left preponderance and the frequency of reductions of alpha waves, of focal dysrhythmias, and of theta wave foci were dependent on the examiner. 7. The authors discuss the connection between the general left preponderance of EEG foci, which is modified by but not basically dependent on sex, age, and diagnosis, and the greater possibility of disturbing the function of the hemisphere dominating speech development.

摘要

对总共2543个连续记录的脑电图病灶进行的7项非选择性随机测试的回顾性评估显示了以下结果:1. 左侧脑电图病灶:1532个 = 63.6%;右侧病灶:875个 = 36.4%。2. 在所有十年中均以左侧优势为主,从第二个十年起在几乎持续的测量中具有显著性。3. 在所有病灶中,43.6%仅位于颞叶区域(左侧71%,右侧29%)。枕叶区域的病灶在第一个十年到更年期之间从60%降至20%,颞叶区域的病灶从26%增至54%。4. 在各类脑电图病灶中均出现左侧优势,仅在δ波病灶中是由于它们在颞叶区域的积聚。5. 在所有诊断中,左侧受累更为频繁,在血管性障碍中最为明显,在颅内占位性病变中最不明显。6. 7名脑电图检查人员中有6名显示出显著的左侧优势。左侧优势的程度以及α波减少、局灶性心律失常和θ波病灶的频率取决于检查人员。7. 作者讨论了脑电图病灶普遍左侧优势(虽受性别、年龄和诊断影响但基本不依赖于它们)与干扰主导语言发展半球功能的更大可能性之间的联系。

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