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[脑电图在癫痫以外其他疾病图像诊断中的应用]

[EEG in diagnosis of other disease pictures than epilepsy].

作者信息

Kurlemann G, Schuierer G

机构信息

Universitäts-Kinderklinik Münster, Bereich: Neuropädiatrie.

出版信息

Klin Padiatr. 1994 Mar-Apr;206(2):100-7. doi: 10.1055/s-2008-1046591.

Abstract

Electroencephalography plays a very important role in the diagnosis and course monitoring of epilepsy. The EEG is also able to give decisive clues in diseases other than epilepsy. It is important to know these specific EEG patterns which may assume a key role in the diagnosis of rare neuropediatric diseases. Familiarity with such specific patterns will allow to select only specific investigations for diagnostic confirmation. We report six guiding EEG patterns and the associated disorders: 1. Re-build up phenomena for Moyamoya syndrome. 2. High amplitude alpha-beta activity for lissencephaly type I. 3. Positive spikes during low frequency photostimulation for late infantile neuronal ceroid lipofuscinosis. 4. Periodic high amplitude discharges for subacute sclerosing panencephalitis (SSPE). 5. Burst suppression pattern in non-asphyctic mature newborns for Ohtahara syndrome, non ketotic hyperglycinemia or molybden cofactor deficiency. 6. High amplitude 3-4 HZ activity with small spikes for Angelman syndrome.

摘要

脑电图在癫痫的诊断和病程监测中起着非常重要的作用。脑电图在癫痫以外的疾病中也能提供决定性线索。了解这些特定的脑电图模式很重要,它们可能在罕见的神经儿科疾病诊断中起关键作用。熟悉此类特定模式将有助于仅选择特定检查来确诊。我们报告六种指导性脑电图模式及相关疾病:1. 烟雾病的重建现象。2. Ⅰ型无脑回畸形的高波幅α-β活动。3. 晚期婴儿神经元蜡样脂褐质沉积症在低频光刺激时的正棘波。4. 亚急性硬化性全脑炎(SSPE)的周期性高波幅放电。5. 大田原综合征、非酮症高甘氨酸血症或钼辅因子缺乏症在非窒息成熟新生儿中的爆发抑制模式。6. 天使综合征的高波幅3 - 4赫兹活动伴小棘波。

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