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[EEG findings in patients with aortocoronary bypass--a visual-morphologic analysis in comparison with clinical data].

In course of a catamnesis during a period of 1,5 up to 5 years after operation we made electroencephalographic examinations in 140 patients submitted to an aorto-coronary-veins-bypass (ACVB). Compared with a control group of corresponding age we observed a significant frequency of focal disturbances, being interpreted as expression of an increased functional lability due to vascular effects. 14 percent of these patients showed evident signs of cerebrovascular insufficiency. 33 percent suffered from symptoms of the unspecific pseudoneurasthenic syndrome, often to be found in the preliminary region of cerebrovascular insufficiency. Compared with the control group we found among the EEG of alpha-type within the ACVB-group a significantly increased number of subvigilant patterns. There were no relations between the extent of these patterns and the clinical syndromes of cerebrovascular insufficiency and pseudoneurasthenia. The increased appearance of fluctuations of vigilance within the group showing a higher vascular morbidity can be regarded as a first step of limited regulative dynamics. The results of this study confirm the necessity of an interdisciplinary medical treatment of patients suffering from arteriosclerosis.

Adult↗

Analysis of visual evoked responses in multiple sclerosis.

In Multiple Sclerosis (MS) the modification of the latency of visual evoked responses (VER's) shows sequels of the involvement of anterior optic tracts manifested by a retro-bulbar optic neuritis (RBON). This study was made on 102 patients with MS. The stimulus used the pattern reversal of a checkboard. The influence of the size and squares 8' and 20' chosen as stimulus has been first studied in patients with antecedents of RBON. Using the 8' squares, all eyes with a history of RBON had pathological VER's. When there is no clinical antecedent of RBON, this means of stimulation enabled us to detect sequels of RBON. In "definitive" and "probable" MS, 100% of patients had pathological VER's either for both eyes of a single eyes. In "possible" MS a sequel of RBON was demonstrated in 57% of this population without clinical antecedent of RBON. A correlation between VER's result and the ophthalmological examination (visual acuity, fundoscopic examination and acquired dyschromatopsie) was made. Although VER's are an excellent method for detecting the sequels of RBON in MS. VER's abnormalities have no etiological significance, they are observed in other neurological involvements of anterior optic tracts. These different points are discussed and a physiological interpretation of VER's abnormalities is proposed.

Color Perception↗