Tlapshokov M Kh
Zh Nevropatol Psikhiatr Im S S Korsakova. 1980;80(6):867-71.
The author presents the data of clinical and electrophysiological observations of 6 patients (out of 300) with acute pneumonia and 9 patients (out of 89) with chronic nonspecific inflammatory diseases of the lungs accompanied by the epileptic syndrome that developed for the first time. In those patients the convulsive seizure did not differ in their character from those observed in cases of classic epilepsy. The course of the convulsive seizures, especially at the early stages of the disease, depended on the degree of the clinical manifestations of the acute and chronic pulmonary pathology. An analysis of the results obtained showed that the pathogenetic mechanisms of the epileptic syndrome in the acute stage and in exacerbations of the chronic nonspecific diseases were formed of intoxication, hypoxia, hematoliquordynamic disturbances, and signs of cerebral and meningeal edema, the disturbances of the cerebrospinal liquor dynamics being of a particular importance.
作者展示了6例(300例中的)急性肺炎患者以及9例(89例中的)伴有首次发作癫痫综合征的慢性非特异性肺部炎症疾病患者的临床和电生理观察数据。在这些患者中,惊厥发作的特征与经典癫痫病例中观察到的并无不同。惊厥发作的过程,尤其是在疾病早期,取决于急性和慢性肺部病变的临床表现程度。对所得结果的分析表明,急性阶段和慢性非特异性疾病加重期癫痫综合征的发病机制是由中毒、缺氧、血液流变动力学紊乱以及脑和脑膜水肿迹象构成的,其中脑脊液动力学紊乱尤为重要。