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抗肿瘤白细胞介素-2治疗的神经毒性:诱发性认知电位与脑图谱

Neurotoxicity of antitumoral IL-2 therapy: evoked cognitive potentials and brain mapping.

作者信息

Pace A, Pietrangeli A, Bove L, Rosselli M, Lopez M, Jandolo B

机构信息

Servizio di Neurologia, Istituto Regina Elena per lo Studio e la Cura di Tumori, Roma.

出版信息

Ital J Neurol Sci. 1994 Oct;15(7):341-6. doi: 10.1007/BF02339930.

Abstract

Antitumoral interleukin-2 (IL-2) therapy is frequently associated with a neurotoxicity that manifests itself in neuropsychiatric disturbances and, more rarely, with neurological focal signs. With the aim of documenting the involvement of cognitive functions after IL-2 treatment, we studied 20 patients using evoked cognitive potentials (P300) and computer analysis of the EEG signal. A comparison of the tests performed before and after the subcutaneous infusion of IL-2 showed a significant lengthening in mean P300 latencies and a percentage increase in the EEG frequencies contained with the delta and theta bands, especially in the frontal regions.

摘要

抗肿瘤白细胞介素-2(IL-2)治疗常伴有神经毒性,表现为神经精神障碍,较少出现神经局灶体征。为记录IL-2治疗后认知功能的受累情况,我们使用诱发认知电位(P300)和脑电图信号的计算机分析对20例患者进行了研究。皮下注射IL-2前后所做测试的比较显示,P300平均潜伏期显著延长,脑电图频率中δ和θ波段的百分比增加,尤其是在额叶区域。

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