Studies on quantitative beta activity in EEG background changes produced by intravenous diazepam in epilepsy

作者: Zu-Chun Huang , Ding-Lie Shen

DOI: 10.1177/155005949702800310

关键词:

摘要: This article deals with the further systematic investigation of effects diazepam on quantitative beta activity in EEG background activity, and determination affecting factors concerned. Diazepam (0.1-0.3 mg/kg) was injected intravenously, percentage diazepaminduced changes (PDICB) over 8 sites scalp recordings quantitatively analyzed using spectral analysis. The concerned were also explored by univariate multivariate statistical analysis 84 cases epilepsy. results showed that mean PDICB value epileptic patients (4.49 ± 4.51) significantly lower than normal controls (8.03 5.55). In slowing pre-diazepam, AED treatment, long duration receiving AEDs, refractory epilepsy brain structural damage, statistically reduced. values CPS, GTCS, etiologic factors, or paroxysmal discharges pre-drug recordings, tended toward decrease advancing disease seizure frequency; however, these trends did not reach significance. Besides correlate sex, age at onset. a stepwise regression model, it found treatment independently negatively associated decreased PDICB. These suggest reduction induced diazepam, which may involve whole besides epileptogenic lesion, is related only to cerebral function impairment due process, but interactions synergistic effects.

参考文章(39)
Jolyon Oxley, John Patrick Laidlaw, Alan Richens, A Textbook of epilepsy Churchill Livingstone. ,(1982)
Toshiro Miyauchi, Keiko Endo, Tetsuaki Yamaguchi, Hiroshi Hagimoto, Computerized Analysis of EEG Background Activity in Epileptic Patients Epilepsia. ,vol. 32, pp. 870- 881 ,(1991) , 10.1111/J.1528-1157.1991.TB05544.X
H. E. Booker, G. G. Celesta, Serum Concentrations of Diazepam in Subjects With Epilepsy JAMA Neurology. ,vol. 29, pp. 191- 194 ,(1973) , 10.1001/ARCHNEUR.1973.00490270073012
M.A.B. Brazier, P.H. Crandall, G.O. Walsh, Enhancement of EEG lateralizing signs in temporal lobe epilepsy: A trial of diazepam Experimental Neurology. ,vol. 51, pp. 241- 258 ,(1976) , 10.1016/0014-4886(76)90067-4
J.H. Livingston, A. Anderson, J.K. Brown, A. McInnes, Benzodiazepine sensitivity testing in the management of intractable seizure disorders in childhood Electroencephalography and Clinical Neurophysiology. ,vol. 67, pp. 197- 203 ,(1987) , 10.1016/0013-4694(87)90016-2
Lennart Gram, Karl Wulff, Kurt E. Rasmussen, Helga Flachs, Annelise Würtz-Jørgensen, Kurt W. Sommerbeck, Viggo Løhren, Valproate Sodium: A Controlled Clinical Trial Including Monitoring of Drug Levels Epilepsia. ,vol. 18, pp. 141- 148 ,(1977) , 10.1111/J.1528-1157.1977.TB04462.X
Y M Hart, H Meinardi, J W Sander, D J Nutt, S D Shorvon, The effect of intravenous flumazenil on interictal electroencephalographic epileptic activity: results of a placebo-controlled study. Journal of Neurology, Neurosurgery, and Psychiatry. ,vol. 54, pp. 305- 309 ,(1991) , 10.1136/JNNP.54.4.305