Noguchi Y, Okubo O, Fujita Y, Fuchigami T, Yamamori H, Murabayashi M, Yamada A, Harada K
Department of Pediatrics, Nihon University School of Medicine, Tokyo.
No To Hattatsu. 1996 Jul;28(4):319-23.
A Japanese girl developed tonic spasms in series at two months after birth. When she was admitted at 4 months, she had generalized muscle hypotonia and could not control her head. She had atotal agenesis of the corpus callosum on MRI, reticulo-lacunitis revealed by ophthalmologic examination, and hypsarrhythmia in EEG. Brain stem auditory evoked potentials and flash-visual evoked potentials exhibited abnormally asymmetrical findings. The cortical components of somatosensory evoked potentials were not elicited on admission, but some components became to be recognized on median nerve stimulation in accordance with improvement of EEG findings after various therapeutic trials. We concluded that these neurophysiological examinations were useful to investigate the abnormal lesions of the central nervous system in patients with Aicardi syndrome.
一名日本女孩在出生后两个月出现一连串的强直性痉挛。4个月入院时,她全身肌张力减退,无法控制头部。MRI显示胼胝体完全缺如,眼科检查发现网状-腔隙炎,脑电图显示高峰失律。脑干听觉诱发电位和闪光视觉诱发电位显示异常不对称。入院时体感诱发电位的皮质成分未引出,但经过各种治疗试验后,随着脑电图结果的改善,在正中神经刺激时可识别出一些成分。我们得出结论,这些神经生理学检查有助于研究Aicardi综合征患者中枢神经系统的异常病变。