OBJECTIVE:Although neuroimaging and electrophysiological tests are potentially useful to distinguish corticobasal degeneration (CBD) from progressive supranuclear palsy (PSP), little is known about the diagnostic value of electroencephalography (EEG) for their distinction. We assessed the value of EEG for differentiating CBD from PSP. METHODS:We reviewed conventional EEGs recorded at an early stage of disease in 10 CBD patients and 14 PSP patients. We focused on slowing of background activity (SBA), frontal intermittent rhythmic delta activity (FIRDA) and focal slow waves (FSWs). Statistical analysis was performed by Fisher's exact test. RESULTS:SBA was observed in 1 CBD patient and 2 PSP patients. FSWs were found in 8 CBD patients (80.0%), but only 2 PSP patients (14.3%) (p=0.002); they appeared contralateral to the dominantly-affected side in 6 of 8 CBD patients, and ipsilateral to the side with most atrophy on MRI in 7 of 8 CBD patients. FIRDA was observed in 2 CBD patients (20.0%) and 5 PSP patients (35.7%) (p=0.357). CONCLUSIONS:FSWs are characteristic of CBD, but FIRDA was not disease-specific. SIGNIFICANCE:FSWs on EEG, in addition to clinical criteria, yield useful supplementary information to distinguish between these diseases at early stages.

译文

目的:尽管神经影像学检查和电生理检查可能有助于区分皮质基底变性(CBD)和进行性核上性麻痹(PSP),但对脑电图(EEG)的诊断价值了解甚少。我们评估了脑电图对区分CBD和PSP的价值。
方法:我们回顾了10例CBD患者和14例PSP患者在疾病早期记录的常规脑电图。我们的研究重点是背景活动(SBA),额叶间歇性节律性三角洲活动(FIRDA)和局灶性慢波(FSW)的减慢。统计分析通过Fisher精确检验进行。
结果:在1例CBD患者和2例PSP患者中观察到了SBA。在8例CBD患者中发现了FSW(80.0%),但仅2例PSP患者(14.3%)(p = 0.002);在8例CBD患者中,有6例与主要受影响的一侧相对,而在8例CBD患者中,MRI上萎缩最大的一侧同侧。在2例CBD患者(20.0%)和5例PSP患者(35.7%)中观察到FIRDA(p = 0.357)。
结论:FSW是CBD的特征,但FIRDA不是疾病特异性的。
意义:脑电图上的FSW除临床标准外,还可以提供有用的补充信息,以在早期区分这些疾病。

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