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中华临床医师杂志(电子版) ›› 2019, Vol. 13 ›› Issue (08) : 616 -619. doi: 10.3877/cma.j.issn.1674-0785.2019.08.011

所属专题: 文献

综述

脑电图在烟雾病临床诊疗中的研究进展
卢葭1, 强峻1, 夏晴1, 刘献增1,(), 赵元立2, 王嵘2   
  1. 1. 102206 北京,北京大学国际医院神经内科
    2. 102206 北京,北京大学国际医院神经外科;100070 北京,北京天坛医院神经外科
  • 收稿日期:2019-02-17 出版日期:2019-04-15
  • 通信作者: 刘献增

Role of electroencephalography in diagnosis and treatment of moyamoya disease

Jia Lu1, Jun Qiang1, Qing Xia1, Xianzeng Liu1,(), Yuanli Zhao2, Rong Wang2   

  1. 1. Department of Neurology, Peking University International Hospital, Beijing 102206, China
    2. Department of Neurosurgery, Peking University International Hospital, Beijing 102206, China; Department of Neurosurgery, Beijing Tiantan Hospital, Beijing 100070, China
  • Received:2019-02-17 Published:2019-04-15
  • Corresponding author: Xianzeng Liu
  • About author:
    Corresponding author: Xianzeng Liu, Email:
引用本文:

卢葭, 强峻, 夏晴, 刘献增, 赵元立, 王嵘. 脑电图在烟雾病临床诊疗中的研究进展[J]. 中华临床医师杂志(电子版), 2019, 13(08): 616-619.

Jia Lu, Jun Qiang, Qing Xia, Xianzeng Liu, Yuanli Zhao, Rong Wang. Role of electroencephalography in diagnosis and treatment of moyamoya disease[J]. Chinese Journal of Clinicians(Electronic Edition), 2019, 13(08): 616-619.

烟雾病(MMD)是一种慢性脑血管闭塞性疾病。脑电图(EEG)是一项较为成熟的用于脑功能评估的神经电生理检查方法,EEG变化与脑血流量(CBF)密切相关。本文对MMD的临床特征、EEG变化与CBF的关系、MMD患者EEG特征及EEG在MMD术中监测、预后评估以及发作性事件的诊断和鉴别诊断中的临床应用作一综述。发现MMD患者存在相对特异的EEG变化,EEG对MMD的诊断、术中脑功能监测、预后评估等具有重要价值,尤其对于儿童患者。

Moyamoya disease (MMD) is a kind of disease characterized with progressive cerebrovascular occlusion. Electroencephalography (EEG) is a well-established tool for brain assessment and has a close connection with cerebral blood flow (CBF). This article reviews the characteristics of MMD, the correlation between EEG and CBF, EEG features, and its clinical application in intraoperative monitoring, prognosis assessment, and diagnosis and differential diagnosis of episodic events in MMD. MMD patients show a relatively special EEG pattern and EEG is useful for diagnosis, intraoperative brain monitoring, and prognosis assessment in MMD, especially for children.

1
Scott RM, Smith ER. Moyamoya disease and moyamoya syndrome[J]. N Engl J Med, 2009, 360(12): 1226-1237.
2
Kim JS. Moyamoya Disease: Epidemiology, Clinical Features, and Diagnosis[J]. J Stroke, 2016, 18(1): 2-11.
3
Zhang H, Zheng L, Feng L. Epidemiology, diagnosis and treatment of moyamoya disease[J]. Exp Ther Med, 2019, 17(3): 1977-1984.
4
Suzuki J, Takaku A. Cerebrovascular ″moyamoya″ disease. Disease showing abnormal net-like vessels in base of brain[J]. Arch Neurol, 1969, 20(3): 288-299.
5
Foreman B, Claassen J. Quantitative EEG for the detection of brain ischemia[J]. Crit Care, 2012, 16(2): 216.
6
Sharbrough FW, Messick JM Jr, Sundt TM Jr. Correlation of continuous electroencephalograms with cerebral blood flow measurements during carotid endarterectomy[J]. Stroke, 1973, 4(4): 674-683.
7
Rogers JM, Bechara J, Middleton S, et al. Acute EEG Patterns Associated With Transient Ischemic Attack[J]. Clin EEG Neurosci, 2019, 50(3): 196-204.
8
Miao W, Zhao PL, Zhang YS, et al. Epidemiological and clinical features of Moyamoya disease in Nanjing, China[J]. Clin Neurol Neurosurg, 2010, 112(3): 199-203.
9
Nakase H, Ohnishi H, Touho H, et al. Long-term follow-up study of ″epileptic type″ moyamoya disease in children[J]. Neurol Med Chir (Tokyo), 1993, 33(9): 621-624.
10
Ma Y, Zhao M, Zhang Q, et al. Risk Factors for Epilepsy Recurrence after Revascularization in Pediatric Patients with Moyamoya Disease[J]. J Stroke Cerebrovasc Dis, 2018, 27(3): 740-746.
11
Riordan CP, Storey A, Cote DJ, et al. Results of more than 20 years of follow-up in pediatric patients with moyamoya disease undergoing pial synangiosis[J]. J Neurosurg Pediatr, 2019, 1:1-7.
12
Jin SC, Oh CW, Kwon OK, et al. Epilepsy after bypass surgery in adult moyamoya disease[J]. Neurosurgery, 2011, 68(5): 1227-1232; discussion 1232.
13
Frechette ES, Bell-Stephens TE, Steinberg GK, et al. Electroencephalographic features of moyamoya in adults[J]. Clin Neurophysiol, 2015, 126(3): 481-485.
14
Research Committee on the Pathology and Treatment of Spontaneous Occlusion of the Circle of Willis, Health Labour Sciences Research Grant for Research on Measures for Infractable Diseases. Guidelines for diagnosis and treatment of moyamoya disease (spontaneous occlusion of the circle of Willis)[J]. Neurol Med Chir (Tokyo), 2012, 52(5): 245-266.
15
Amzica F, Lopes da Silva FH. Cellular substrates of brain rhythms. In Niedermeyer′s Electroencephalography: Basic Principles, Clinical Applications, and Related Fields[M]. Edited by Niedermeyer E, Schomer DL, Lopes da Silva FH. 6th edition. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health, 2010: 33-64.
16
Evans BM. Patterns of arousal in comatose patients[J]. J Neurol Neurosurg Psychiatry, 1976, 39(4): 392-402.
17
贾建平,陈生弟. 神经病学[M]. 8版. 北京: 人民卫生出版社, 2018: 187.
18
Schneider AL, Jordan KG. Regional attenuation without delta (RAWOD): a distinctive EEG pattern that can aid in the diagnosis and management of severe acute ischemic stroke[J]. Am J Electroneurodiagnostic Technol, 2005, 45(2): 102-117.
19
Kodama N, Aoki Y, Hiraga H, et al. Electroencephalographic findings in children with moyamoya disease[J]. Arch Neurol, 1979, 36(1): 16-19.
20
张书香. 小儿烟雾病的脑电图[J]. 国外医学脑血管疾病分册, 1994, 2(1): 17-20.
21
谢旭芳,熊英琼,刘维捷, 等. 20例烟雾病的临床与脑电图分析[J]. 实用临床医学, 2006, 7(3): 33-34.
22
杨冰竹,田茂强,张贵萍, 等. 儿童烟雾病脑电图再次慢波增强现象伴短暂性脑缺血发作2例报告[J]. 中国实用儿科杂志, 2019, 34(1): 74-75.
23
Kim DS, Ko TS, Ra YS, et al. Postoperative electroencephalogram for follow up of pediatric Moyamoya disease[J]. J Korean Med Sci, 2006, 21(3): 495-499.
24
Cho A, Chae JH, Kim HM, et al. Electroencephalography in pediatric moyamoya disease: reappraisal of clinical value[J]. Childs Nerv Syst, 2014, 30(3): 449-459.
25
Ohyama H, Niizuma H, Fujiwara S, et al. EEG findings in moyamoya disease in children--with special reference to the genesis of re-build up[J]. No Shinkei Geka, 1985, 13(7): 727-733.
26
Kuroda S, Kamiyama H, Isobe M, et al. Cerebral hemodynamics and ″re-build-up″ phenomenon on electroencephalogram in children with moyamoya disease[J]. Childs Nerv Syst, 1995, 11(4): 214-219.
27
Kikuta K, Takagi Y, Arakawa Y, et al. Absence epilepsy associated with moyamoya disease. Case report[J]. J Neurosurg, 2006, 104(4 Suppl): 265-268.
28
Fujimura M, Tominaga T. Current status of revascularization surgery for Moyamoya disease: special consideration for its ′internal carotid-external carotid (IC-EC) conversion′ as the physiological reorganization system[J]. Tohoku J Exp Med, 2015, 236(1): 45-53.
29
Tan TW, Garcia-Toca M, Marcaccio EJ Jr, et al. Predictors of shunt during carotid endarterectomy with routine electroencephalography monitoring[J]. J Vasc Surg, 2009, 49(6):1374-1378.
30
Ballotta E, Saladini M, Gruppo M, et al. Predictors of electroencephalographic changes needing shunting during carotid endarterectomy[J]. Ann Vasc Surg, 2010, 24(8): 1045-1052.
31
Vendrame M, Kaleyias J, Loddenkemper T, et al. Electroencephalogram monitoring during intracranial surgery for moyamoya disease[J]. Pediatr Neurol, 2011, 44(6): 427-432.
32
Noshiro S, Mikami T, Komatsu K, et al. Neuromodulatory Role of Revascularization Surgery in Moyamoya Disease[J]. World Neurosurg, 2016, 91:473-482.
33
Kim HY, Chung CS, Lee J, et al. Hyperventilation-induced limb shaking TIA in Moyamoya disease[J]. Neurology, 2003, 60(1): 137-139.
34
Ali S, Khan MA, Khealani B. Limb-shaking Transient Ischemic Attacks: case report and review of literature[J]. BMC Neurol, 2006, 6: 5.
35
Phi JH, Lee SJ, Kang HS, et al. Postoperative Transient Neurologic Dysfunction: A Proposal for Pathophysiology[J]. J Clin Neurol, 2018, 14(3): 393-400.
36
Fujimura M, Tominaga T. Significance of Cerebral Blood Flow Analysis in the Acute Stage after Revascularization Surgery for Moyamoya Disease[J]. Neurol Med Chir (Tokyo), 2015, 55(10): 775-781.
37
Morioka T, Sayama T, Shimogawa T, et al. Electroencephalographic evaluation of cerebral hyperperfusion syndrome following superficial temporal artery-middle cerebral artery anastomosis[J]. Neurol Med Chir (Tokyo), 2013, 53(6): 388-395.
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