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双侧颞部及非优势侧半球(兰开斯特位)电休克治疗期间的脑电图记录

Electroencephalographic recording during bitemporal and unilateral non-dominant hemisphere (Lancaster Position) electroconvulsive therapy.

作者信息

Staton R D, Hass P J, Brumback R A

出版信息

J Clin Psychiatry. 1981 Jul;42(7):264-9.

PMID:7240112
Abstract

electrical seizure activity induced by ECT appears in three phases: Phase I initial 18-22 Hz. (beta-like) activity, Phase II arrhythmic polyspike activity, and Phase III rhythmic 2 1/2-3 1/2 Hz. spike/polyspike-wave activity. With bitemporal ECT, Phase II activity appears simultaneously in all leads. With unilateral non-dominant hemisphere ECT, there is an orderly march on Phase II polyspikes from the right anterior temporal region. After termination of a seizure, there is symmetrical suppression of normal activity with bitemporal ECT, but with unilateral non-dominant hemisphere ECT there is less suppression of normal activity in the unstimulated side.

摘要

电休克治疗(ECT)诱发的癫痫电活动呈现三个阶段:第一阶段为初始的18 - 22赫兹(类似β波)活动,第二阶段为无节律的多棘波活动,第三阶段为节律性的2.5 - 3.5赫兹棘波/多棘波 - 慢波活动。采用双侧颞部ECT时,第二阶段活动在所有导联同时出现。采用单侧非优势半球ECT时,第二阶段的多棘波从右前颞区呈有序进展。癫痫发作终止后,双侧颞部ECT会对称抑制正常活动,但单侧非优势半球ECT对未受刺激侧正常活动的抑制较少。

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