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早老性和老年性阿尔茨海默型痴呆患者的定量脑电图

Quantitative EEG in patients with presenile and senile dementia of the Alzheimer type.

作者信息

Miyauchi T, Hagimoto H, Ishii M, Endo S, Tanaka K, Kajiwara S, Endo K, Kajiwara A, Kosaka K

机构信息

Department of Psychiatry, Yokohama City University School of Medicine, Japan.

出版信息

Acta Neurol Scand. 1994 Jan;89(1):56-64.

PMID:8178630
Abstract

EEG data obtained from 27 patients with presenile Alzheimer's disease (AD) and 28 patients with senile dementia of the Alzheimer type (SDAT) were compared with data from 30 age- and sex-matched controls. Both patient groups exhibited more pronounced delta and theta activity and less prominent alpha and beta activity than the controls. AD, however, was accompanied by more severe slowing than SDAT. The slowing was distributed in the left temporal and frontal regions in AD, and bilaterally in the frontal regions in SDAT. As the severity of the dementia increased, delta activity alone increased in AD, whereas, there were significantly greater increases in both delta and theta activity and decreases in alpha and beta activity in SDAT. These EEG differences appear to be related to the degree of brain damage and the speed of progression of the disease process.

摘要

对27例早老性阿尔茨海默病(AD)患者和28例阿尔茨海默型老年性痴呆(SDAT)患者获取的脑电图(EEG)数据,与30名年龄和性别匹配的对照者的数据进行了比较。与对照组相比,两组患者均表现出更明显的δ波和θ波活动,而α波和β波活动则不那么突出。然而,AD患者的脑电活动减慢比SDAT患者更为严重。AD患者的脑电活动减慢分布在左侧颞叶和额叶区域,而SDAT患者则双侧分布在额叶区域。随着痴呆严重程度的增加,AD患者仅δ波活动增加,而SDAT患者的δ波和θ波活动均显著增加,α波和β波活动则减少。这些脑电图差异似乎与脑损伤程度和疾病进程的进展速度有关。

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