Advertisement

Entzündliche Hirnerkrankungen

  • Stephan Zschocke

Zusammenfassung

Für die EEG-Veränderungen sind in erster Linie die Lokalisation und Ausbreitung der entziindlichen Erkrankung von Bedeutung. Maßgebend ist, in welchem Umfang die weiße und die graue Substanz des Hirns betroffen werden (Gloor et al. 1968; s. Abb. 11.1). Bei einem Befall der grauen Substanz ist der EEG-Befund davon abhängig, ob vorherrschend die Hirnrinde oder in besonderem Maße subkortikale Kerngebiete erkranken.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Au WJ, Gabor AJ, Vijayan N, Markand ON (1980) Periodic lateralized epileptiform complexes (PLEDs) in Creutzfeldt-Jakob disease. Neurology 30: 611–617PubMedCrossRefGoogle Scholar
  2. Besser R (1986) Klinik und EEG der Herpes-simplex-Enzephalitis. EEG-Labor 8: 6–18Google Scholar
  3. Besser R (1993) Hirnmetastase und Herpes-simplex-Enzephalitis: Wertigkeit der EEG-Diagnostik. EEG-Labor 15: 95–99Google Scholar
  4. Besser R, Kramer G, Hopf HC (1990) Die zeitliche Dy-namik von EEG-Veranderungen in der Fruhphase der Herpex-simplex-Enzephalitis. Z EEG-EMG 21: 243–246Google Scholar
  5. Besser R, Liith G (1982) Stellenwert des EEG fur die Diagnose und Verlauf der Herpes simplex Enzepha-litis. Akt Neurol 9: 129–134CrossRefGoogle Scholar
  6. Brown P, Cathala F, Castaigne P, Gajdusek DC (1986) Creutzfeldt-Jakob disease: Clinical analysis of a consecutive series of 230 neuropathologically verfied cases. Ann Neurol 20: 597–602PubMedCrossRefGoogle Scholar
  7. Brown P, Rodgers-Johnson P, Cathala F, Gibbs CJ Jr, Gajdusek DC (1984) Creutzfeldt-Jakob disease of long duration: Clinicopathological characteristics, transmissibility, and differential diagnosis. Ann Neurol 16: 295–304PubMedCrossRefGoogle Scholar
  8. Celesia GG (1973) Pathophysiology of periodic EEG complexes in subacute sclerosing panencephalitis (SSPE). Electroencephalogr Clin Neurophysiol 35: 293–300PubMedCrossRefGoogle Scholar
  9. Ch’ien LT, Boehm RM, Robinson H, Liu C, Frenkell LD (1977) Characteristic early electroencephalographic changes in herpes simplex encephalitis: Clinical and virologic studies. Arch Neurol 34: 361–364PubMedCrossRefGoogle Scholar
  10. Chiofalo N, Fuentes A, Galvez S (1980) Serial EEG findings in 27 cases of Creutzfeldt-Jakob disease. Arch Neurol 37: 143–145PubMedCrossRefGoogle Scholar
  11. Cobb W (1966) The periodic events of subacute sclerosing leucoencephalitis. Electroencephalogr Clin Neurophysiol 21: 278–294PubMedCrossRefGoogle Scholar
  12. Cobb WA (1979) Evidence on the periodic mechanisms on herpes simplex encephalitis. Electroencephalogr Clin Neurophysiol 46: 345–350PubMedCrossRefGoogle Scholar
  13. Cobb W, Hill D (1950) Electroencephalogram in subacute progressive encephalitis. Brain 73: 392–404PubMedCrossRefGoogle Scholar
  14. Fenyo E, Hasznos T (1964) Periodic EEG complexes in subacute panencephalitis: reactivity, response to drugs and respiratory relationships. Electroencephalogr Clin Neurophysiol 16: 446–458CrossRefGoogle Scholar
  15. Gereby G (1981) Elektroenzephalographische Befunde bei nekrotisierender Herpesenzephalitis. Z EEG-EMG 12:205–211Google Scholar
  16. Ghezzi A, Montanini R, Basso PF, Zaffaroni M, Massimo E, Cazzullo CL (1990) Epilepsy in multiple sclerosis. Eur Neurol 30: 218–223PubMedCrossRefGoogle Scholar
  17. Giesen HJ v (1997) Humane spongiforme Enzephalo-pathien und HIV-1-Infektion — Erforderliche Hygie-nemafinahmen im elektrophysiologischen Labor. EEG-Labor 19: 12–19Google Scholar
  18. Gloor P, Kalabay O, Giard N (1968) The electroencephalogram in diffuse encephalopathies: Electroencephalographic correlates of grey and white matter lesions. Brain 91: 779–802CrossRefGoogle Scholar
  19. Hacke W, Zeumer H (1980) Herpes-simplex-Enzephali-tis; eine computertomographisch-elektroenzephalo-graphische Verlaufsstudie. Z EEG-EMG 11: 177–182Google Scholar
  20. Hansen HC, Zschocke S, Stiihrenburg HJ, Kunze K (1998) Clinical changes and EEG patterns preceding the onset of periodic sharp wave complexes in Creutzfeldt-Jakob disease. Acta Neurol Scand 97: 99–106PubMedCrossRefGoogle Scholar
  21. Harvarik R, Muller-Jensen A (1992) Nichtherpetische virale Enzephalitiden Erwachsener mit unauffalligen zerebralen MRT. Akt Neurol 19: 171–174CrossRefGoogle Scholar
  22. Kugler J, Martin JJ, Radermecker FJ, Stockdorph O (1976) Periodische Komplexe im EEG bei nekroti-sierender Herpes-Enzephalitis. Z EEG-EMG 7: 63–71Google Scholar
  23. Lai C-W, Gragasin ME (1988) Electroencephalography in herpes simplex encephalitis. J Clin Neurophysiol 5: 87–103PubMedCrossRefGoogle Scholar
  24. Lampert PW, Gajdusek DC, Gibbs CJ Jr (1971) Experimental spongiform encephalopathy (Creutzfeldt-Jakob disease) in chimpanzees. Electron microscopic studies. J Neuropathol Exp Neurol 30: 20–32PubMedCrossRefGoogle Scholar
  25. Lenard HG, Yaneza PL, Reimer M (1976) Polygraphic recordings in subacute sclerosing panencephalitis. A study of the pathophysiology of the periodic EEG complexes. Neuropaediatrie 7: 52–65CrossRefGoogle Scholar
  26. Levic ZM (1978) Electroencephalographic studies in multiple sclerosis. Specific changes in benign multiple sclerosis. Electroencephalogr Clin Neurophysiol 44: 471–478PubMedCrossRefGoogle Scholar
  27. Levy SR, Chiappa KH, Burke CJ, Young RJ (1986) Early evolution and incidence of electroencephalographic abnormalities in Creutzfeldt-Jakob disease. J Clin Neurophysiol 3: 1–21PubMedGoogle Scholar
  28. Ludolph A, Elger CE (1985) Die Bedeutung des EEG bei der Diagnostik entziindlicher Erkrankungen des Zentralnervensystems. EEG-Labor 7: 123–135Google Scholar
  29. Maier G (1983) Creutzfeldt-Jakob-Krankheit. Klinik und EEG. EEG-Labor 5: 148–153Google Scholar
  30. Markand ON, Panszi JG (1975) The electroencephalogram in subacute sclerosing panencephalitis. Arch Neurol 32: 719–726PubMedCrossRefGoogle Scholar
  31. Misra UK, Kalita J (1998) Neurophysiological studies in herpes simplex encephalitis. Electromyogr Clin Neurophysiol 38: 177–182PubMedGoogle Scholar
  32. Nelson J (1968) On the origin of diffuse spikes in Ja-kob-Creutzfeldt’s disease. Electroencephalogr Clin Neurophysiol 24: 395 (Abstr)PubMedGoogle Scholar
  33. Radermecker J (1955) The EEG in the encephalitides and related cerebral conditions. Electroencephalogr Clin Neurophysiol 7: 448 (Abstr)CrossRefGoogle Scholar
  34. Radermecker J (1957) Das Elektroenzephalogramm der subakuten sklerosierenden Leukoenzephalitis und seine Variationsbreite. Wien Z Nervenheilkd 13: 204–223Google Scholar
  35. Radermecker J, Poser CM (1960) The significance of repetitive paroxysmal electroencephalographic patterns. Their specifity in subacute sclerosing leukoencephalitis. World Neurol 1: 422–431PubMedGoogle Scholar
  36. Rayport M (1963) Electroencephalographic, cortico-graphic and intracerebral potentials in two anatomically verified cases of Creutzfeldt-Jakob disease. Electroencephalogr Clin Neurophysiol 15: 922 (Abstr)Google Scholar
  37. Scharein S, Zschocke S, Kunze K (1991) EEG alterations in Guillaine-Barre syndrome. Electroencephalogr Clin Neurophysiol 78: 55PGoogle Scholar
  38. Steinhoff BJ, Kropp S, Riedemann C, Eckardt KM, Her-rendorf G, Poser S (1998) Elektroenzephalographi-sche Charakteristika der Creutzfeldt-Jakobschen Krankheit und ihre Differentialdiagnose. Fortschr Neurol Psychiatr 66: 357–365PubMedCrossRefGoogle Scholar
  39. Traub RD, Pedley TA (1981) Virus-induced electrotonic coupling: hypothesis on the mechanisms of periodic EEG discharges in Creutzfeldt-Jakob disease. Ann Neurol 10: 405–410PubMedCrossRefGoogle Scholar
  40. Westmoreland BF (1999) The EEG in cerebral inflammatory processes. In: Niedermeyer E, Lopes da Silva F, Electroencephalography, 4th edn. Williams & Wilkins, Baltimore, pp 302–316Google Scholar
  41. Westmoreland BE, Gomez MR, Blume WT (1977) Activation of periodic complexes of subacute sclerosing panencephalitis by sleep. Ann Neurol 1: 185–187PubMedCrossRefGoogle Scholar
  42. Westmoreland BE, Sharbrough FW, Donat JR (1979) Stimulus-induced EEG complexes and motor spasms in subacute sclerosing panencephalitis. Neurology 29: 1154–1157PubMedCrossRefGoogle Scholar
  43. Zeidler M, Stewart GE, Barraclough CR, Bateman DE, Bates D, Burn DJ, Colchester AC, Durward W, Fletcher NA, Hawkins SA, Mackenzie JM, Will RG (1997) New variant Creutzfeldt-Jakob disease: neurological features and diagnostic tests. Lancet 350: 903–907PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2002

Authors and Affiliations

  • Stephan Zschocke
    • 1
  1. 1.HalstenbekDeutschland

Personalised recommendations