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[帕金森病中的体感诱发电位及对多巴胺能药物的症状反应]

[Somatosensory evoked potentials and symptomatic response to dopaminergic drugs in Parkinson's disease].

作者信息

Castillo J L, Miranda C M, Araya F, Sáez D

机构信息

Departamento de Ciencias Neurológicas, Facultad de Medicina, Universidad de Chile, (Campus Oriente).

出版信息

Rev Med Chil. 1996 Mar;124(3):301-6.

PMID:9008941
Abstract

Short latency somatosensory evoked potentials were measured in 10 patients with Parkinson's disease before and after the administration of Apomorphine 5 mg sc. Eight of these subjects were reassessed after one month of treatment with Levo-Dopa. These potentials were measured in other nine subjects before and after one month of treatment with Selegiline 10 mg od. There was a significant increase of frontal potential N30 in nine of 10 subjects that received apomorphine, in seven of eight patients treated with Levo-dopa and seven of nine patients treated with Selegiline. No changes in N20 parietal potential were observed. During apomorphine test, changes in N30 potential preceded clinical improvement in six patients and occurred simultaneously in three patients. No changes with apomorphine in N30 potential were observed in two healthy males. There was no relationship between electrophysiological changes and duration of disease or motor fluctuations. It is concluded that short latency somatosensory evoked potentials are an objective means of measuring dopaminergic response in patients with Parkinson's disease.

摘要

在10例帕金森病患者皮下注射5毫克阿扑吗啡前后测量短潜伏期体感诱发电位。其中8名受试者在接受左旋多巴治疗1个月后重新进行评估。在另外9名受试者服用10毫克司来吉兰治疗1个月前后测量这些电位。在接受阿扑吗啡治疗的10名受试者中有9名、接受左旋多巴治疗的8名患者中有7名以及接受司来吉兰治疗的9名患者中有7名,额叶电位N30显著增加。未观察到顶叶电位N20有变化。在阿扑吗啡试验期间,6例患者N30电位变化先于临床改善,3例患者同时出现。在两名健康男性中未观察到阿扑吗啡引起的N30电位变化。电生理变化与疾病持续时间或运动波动之间无相关性。得出结论,短潜伏期体感诱发电位是测量帕金森病患者多巴胺能反应的一种客观手段。

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