[Neurophysiological (evoked auditory and somatosensory potentials) and neuroradiological (cranial CT) study in patients with olivopontocerebellar atrophy].

L Rossi, F Zappoli, G De Scisciolo, P Marini, G Russo, A Bindi
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Abstract

Thirteen patients affected by either dominant or recessive and/or sporadic olivopontocerebellar atrophy were studied. All patients were subjected to auditory evoked potential recordings including early and long latency components, CT scans, vestibular and EMG-ENG examinations. In nine patients somatosensory evoked potentials were also recorded. Clear-cut abnormalities in brainstem auditory evoked potentials were observed in only two patients while a slight reduction of the IV-V/I amplitude ratio was found in seven cases. N85 was increased in two patients. The main feature of somatosensory evoked potentials abnormalities was a delayed N20 in association with prolonged N13-N20 central conduction time (five patients). For all patients the CT scan varying degrees of cerebellar and brainstem atrophy. There was no clear correlation between the abnormalities revealed by neurophysiological and neuroradiological investigations and the severity and duration of the illness. It is noteworthy that auditory and/or somatosensory evoked potential changes were found in all dominant olivopontocerebellar atrophy patients.

[脑桥小脑萎缩患者的神经生理学(诱发听觉和体感电位)和神经影像学(颅脑CT)研究]。
本文对13例显性或隐性和/或散发性橄榄桥小脑萎缩患者进行了研究。所有患者均接受听觉诱发电位记录,包括早期和长潜伏期成分、CT扫描、前庭和肌电图检查。同时记录了9例患者的体感诱发电位。仅2例患者脑干听觉诱发电位明显异常,7例患者脑干听觉诱发电位振幅比轻微降低。2例患者N85升高。体感诱发电位异常的主要特征是N20延迟,与N13-N20中枢传导时间延长有关(5例)。所有患者的CT扫描均显示不同程度的小脑和脑干萎缩。神经生理学和神经放射学检查显示的异常与疾病的严重程度和持续时间之间没有明确的相关性。值得注意的是,听觉和/或体感觉诱发电位的变化发现在所有优势橄榄桥小脑萎缩患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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