[EEG findings in moyamoya disease in children--with special reference to the genesis of re-build up].

[EEG findings in moyamoya disease in children--with special reference to the genesis of re-build up].
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[儿童烟雾病的脑电图发现——特别涉及重建的起源]。

DOI:
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发表时间:
1985
期刊:
No shinkei geka. Neurological surgery
影响因子:
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通讯作者:
J. Suzuki
J. Suzuki
中科院分区:
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文献类型:
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作者:
H. Ohyama;H. Niizuma;S. Fujiwara;J. Suzuki

文献摘要

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儿童烟雾病的脑电图表现以过度换气时增强和过度换气后再增强为特征。本文对10例典型烟雾病患儿进行了过度通气时及过度通气后的脑电图、tcPO_2、tcPCO_2及呼吸曲线的检测。在所有的情况下,tcPCO 2逐渐下降过度通气,其水平约为过度通气前水平的50%,在过度通气结束。大约五分钟后,tcPCO 2水平恢复到过度通气前的水平。另一方面,tcPO 2增加过度通气。然而,由于随后呼吸频率的降低,在过度换气后几分钟内,它下降到过度换气前水平的50%,并且需要5 - 10分钟才能恢复到过度换气前水平。烟雾病患儿tcPCO_2和tcPO_2的时序变化与过度通气引起的脑电图双相变化有良好的相关性。过度通气后tcPO 2的降低似乎尤其在重建的外观中起重要作用。我们还检测了9例正常儿童过度通气时和过度通气后的tcPO 2和tcPO 2。tcPCO 2、tcPO 2和呼吸频率的顺序变化与烟雾病儿童相同,但未观察到重建。本文观察了4例烟雾病患者在吸入100%O_2和8%CO_2空气时的EEG、tcPCO_2、tcPO_2及呼吸频率的变化。(250字处删节)
EEG findings in Moyamoya diseases in children are characterized by build up during hyperventilation and re-build up after hyperventilation. We examined EEG, tcPO2, tcPCO2 and respiratory curves during and after hyperventilation in 10 cases of typical Moyamoya disease in children. In all of the cases, tcPCO2 decreased gradually by hyperventilation, and its level was about 50% of the pre-hyperventilation level at the end of hyperventilation. It took about five minutes for the tcPCO2 level to return to the pre-hyperventilation level. On the other hand, tcPO2 was increased by hyperventilation. However, it decreased down to 50% of the pre-hyperventilation level within a few minutes after hyperventilation because of the following decrease in the respiratory rate, and it took 5 to 10 minutes to return to the pre-hyperventilation level. Sequential changes in tcPCO2 and tcPO2 showed good correlation with the biphasic change in EEG by hyperventilation in children with Moyamoya disease. The decrease in tcPO2 after hyperventilation seemed in particular to play an important role in the appearance of re-build up. We also examined tcPO2 and tcPO2 during and after hyperventilation in 9 cases of normal children. Sequential changes in tcPCO2, tcPO2 and the respiratory rate were the same as those in children with Moyamoya disease, but re-build up was not observed. In 4 cases of Moyamoya disease we examined the sequential changes in EEG, tcPCO2, tcPO2 and the respiratory rate under the inhalation of 100% O2 and 8% CO2 air.(ABSTRACT TRUNCATED AT 250 WORDS)