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电离辐射作用远期(切尔诺贝利核电站事故后遗症)神经功能障碍的脑电图相关性

Electroencephalographic correlates of neurological disturbances at remote periods of the effect of ionizing radiation (sequelae of the Chernobyl' NPP accident).

作者信息

Zhavoronkova L A, Kholodova N B, Zubovskii G A, Ryzhov N I

机构信息

Institute of Higher Nervous Activity and Neurophysiology, Russian Academy of Sciences, Moscow.

出版信息

Neurosci Behav Physiol. 1995 Mar-Apr;25(2):142-9. doi: 10.1007/BF02358585.

Abstract

The psychoneurological status of 40 participants (all men aged 25-45 years, official dose 15-51 rem) in the liquidation of the consequences of the accident at the Chernobyl Nuclear Power Plant in 1986-1987 was investigated; EEG mapping and three-dimensional localization of the sources of epileptic activity as compared with the data of healthy individuals (20 individuals) was carried out. Vegetative-vascular symptomatology was identified in the neurological status of all the patients; disseminated organic neurological symptomatology and endocrine disturbances were additionally identified in some of the patients. There were paroxysmal attacks periodically in the overwhelming majority (68%) of the patients; this correlated with the presence in the EEG of epileptic forms of activity. The patients were divided into two groups on the basis of the character of the EEG. Patients in whom slow alpha waves and waves of the theta range with a "focus" in the central-frontal regions of the cortex were recorded were included in group I (25 individuals). Analysis of the localization of the sources of epileptic activity revealed placement at the midline level in them with marked compactness and displacement of the focus to the right hemisphere. In the patients of group II (15 individuals), slow waves of frontal localization and diffuse beta waves predominated in the EEG in the presence of a reduction in the level of biopotentials. The localization of equivalents of epileptic activity was more diffuse in character and was at the basal level, with a greater representation of the sources of epileptic activity in the left hemisphere.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

对1986 - 1987年参与切尔诺贝利核电站事故后果清理工作的40名参与者(均为25至45岁男性,官方剂量15 - 51雷姆)的精神神经状况进行了调查;与健康个体(20人)的数据相比,进行了脑电图图谱分析以及癫痫活动源的三维定位。在所有患者的神经状况中均发现了自主神经血管症状;部分患者还发现了弥漫性器质性神经症状和内分泌紊乱。绝大多数(68%)患者会定期发作阵发性症状;这与脑电图中癫痫活动形式的存在相关。根据脑电图特征将患者分为两组。在皮层中央 - 额叶区域记录到慢α波和θ波段有“焦点”的患者被纳入第一组(25人)。对癫痫活动源定位的分析显示,其位于中线水平,焦点明显密集且向右半球移位。在第二组患者(15人)中,脑电图以额叶定位的慢波和弥漫性β波为主,同时生物电位水平降低。癫痫活动等效物的定位更具弥漫性,位于基底水平,且癫痫活动源在左半球的表现更为明显。(摘要截断于250字)

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