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[脑电图检查在多发性硬化症诊断中的作用,特别是其对球后视神经炎预后的重要性]

[Usefulness of EEG examination in the diagnosis of multiple sclerosis with particular reference to its prognostic importance in retrobulbar neuritis].

作者信息

Zawadzka-Tołłoczko W

机构信息

Kliniki Neurologii AM w Białymstoku.

出版信息

Neurol Neurochir Pol. 1996 Jan-Feb;30(1):29-37.

PMID:8657348
Abstract

It is known from literature that 40-60% of eeg recordings from SM patients show changes. These changes are: slow generalised activity, focal changes, and sharp waves and spikes occurring in bursts. It is established that optic neuritis often precedes the occurrence of neurological focal changes in SM. The goal of this work was the analysis of eeg recordings from SM patients before and after treatment during disease exacerbation and from patients with optic neuritis without neurological changes. Eeg recordings in optic neuritis showed changes similar to those observed in SM. Follow-up studies proved that patients with changes in eeg during neuritis were at a risk group; absence of such changes does not exclude the possibility of SM. Patients after neuritis should periodically undergo neurological examination.

摘要

从文献中可知,患有小儿多发性硬化症(SM)患者的脑电图记录中有40%-60%显示出变化。这些变化包括:全身性慢活动、局灶性变化以及阵发性出现的尖波和棘波。已确定视神经炎常先于小儿多发性硬化症的神经局灶性变化出现。这项工作的目的是分析小儿多发性硬化症患者在疾病加重期治疗前后的脑电图记录,以及没有神经变化的视神经炎患者的脑电图记录。视神经炎患者的脑电图记录显示出与小儿多发性硬化症中观察到的变化相似的变化。随访研究证明,神经炎期间脑电图有变化的患者属于风险组;没有这种变化并不能排除患小儿多发性硬化症的可能性。神经炎后的患者应定期进行神经学检查。

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