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γ球蛋白在耐药性癫痫中的作用。一项初步研究(作者译)

[The effects of gammaglobulins in resistant epilepsies. A preliminary study (author's transl)].

作者信息

Laffont F, Esnault S, Gilbert A, Peytour M A, Cathala H P, Eygonnet J P

出版信息

Ann Med Interne (Paris). 1979;130(5):307-12.

PMID:90472
Abstract

The effect of injections of gammaglobulins 16 Mérieux (1 ml/kg) was studied in 9 patients aged from 1 to 35 years suffering from epilepsy resistant to conventional anticonvulsant treatment. Different types of epilepsy were studied to try to discover a possible indication as a function of the type of epilepsy. Results were assessed according to the patients' behaviour, the frequency and severity of clinical fits, the results of psychological tests, and EEG tracing recorded over long periods of time. Recordings were repeated every 2 to 3 weeks. Favourable results were observed in 7 cases with: --an increased rate of sleeping and waking EEG tracings, --a reduction in the percentage of paroxysms whatever the wakefulness stage, --alterations in the percentages of some sleep stages. The possible mechanisms of action of IgG are discussed.

摘要

对9例年龄在1至35岁、对传统抗惊厥治疗耐药的癫痫患者,研究了注射16 Mérieux丙种球蛋白(1毫升/千克)的效果。研究了不同类型的癫痫,试图根据癫痫类型找出可能的适应证。根据患者的行为、临床发作的频率和严重程度、心理测试结果以及长时间记录的脑电图进行结果评估。每2至3周重复记录一次。在7例患者中观察到了有利结果:——睡眠和清醒脑电图记录的发生率增加;——无论清醒阶段如何,发作百分比降低;——某些睡眠阶段百分比的改变。讨论了免疫球蛋白G可能的作用机制。

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