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[儿童期下丘脑综合征(其流行病学及临床电生理方面)]

[The hypothalamic syndrome in childhood (its epidemiological and clinico-electrophysiological aspects)].

作者信息

Solov'eva A D, Vorob'eva O V, Loseva M M, Khaspekova N B, Fedorova V I, Musaeva Z A, Filatova E G

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 1994;94(1):30-4.

PMID:8009930
Abstract

The epidemiological survey covered 2000 city schoolchildren. They ranged in age from 7 to 15 years. Hypothalamic deficiency (HD) was detected in 5% of the examinees. Clinical and physiological findings on HD children are provided. They were found to have the history of hereditary or natal damage evidencing the acquired nature of the disease. Special emphasis is placed on HD manifestations in prepubertal and pubertal age. The authors show defective regulation of nonspecific brain systems in the form of predominant activation of the septohippocampal system and relative insufficiency of the brain stem mesencephalic reticular formation. Activation of cerebral ergotropic vegetative mechanisms combines with peripheral vegetative failure (sympathetic and parasympathetic), probably, of congenital origin.

摘要

这项流行病学调查涵盖了2000名城市学童。他们的年龄在7至15岁之间。在5%的受检者中检测到下丘脑功能减退(HD)。文中提供了HD儿童的临床和生理检查结果。发现他们有遗传或出生时损伤的病史,证明该疾病是后天性的。特别强调了青春期前和青春期HD的表现。作者指出,非特异性脑系统调节存在缺陷,表现为隔海马系统的主要激活和脑干中脑网状结构相对不足。大脑向营养性植物神经机制的激活与可能源于先天性的外周植物神经功能衰竭(交感和副交感神经)相结合。

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