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[癫痫患者手术消除癫痫发作后脊髓运动神经元兴奋性的动态变化]

[Dynamics of spinal cord motor neuron excitability in epileptic patients following surgical elimination of seizures].

作者信息

Beĭn B N, Zdornov E M

出版信息

Vopr Neirokhir. 1976 May-Jun(3):40-4.

PMID:951954
Abstract

H-reflex testing in epileptics with frequent seizures reveals both an increase and decrease of the activity of the spinal cord motoneurons. A surgical removal of the epileptogenic focus and the disappearance of seizures is followed by a significant elevation of the H-reflex induction threshold, which may be a reflection of the compensatory process. The dynamics of the stimulation EMG data pertains to the H-reflex alone, and is not true in case of the tendon reflexes. In this connection a dystony of the supraspinal regulation of the alpha- and gamma-motoneurons is suggested in epilepsy with a prevailing involvement of the alpha-cells.

摘要

对频繁发作的癫痫患者进行Hoffmann反射(H反射)测试发现,脊髓运动神经元的活动既有增加也有减少。手术切除致痫灶且癫痫发作消失后,H反射诱发阈值显著升高,这可能是代偿过程的一种反映。刺激肌电图数据的动态变化仅与H反射有关,而在腱反射中并非如此。就此而言,在以α细胞受累为主的癫痫中,提示存在α运动神经元和γ运动神经元的脊髓上调节障碍。

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[Dynamics of spinal cord motor neuron excitability in epileptic patients following surgical elimination of seizures].[癫痫患者手术消除癫痫发作后脊髓运动神经元兴奋性的动态变化]
Vopr Neirokhir. 1976 May-Jun(3):40-4.
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