Sobressalto patológico: aspectos clínicos e eletrencefalográficos

Kliemann, Frederico Dahne; Ferreira, Nelson Pires

doi:10.1590/S0004-282X1967000200006

Resumos

Os autores relatam o caso de um paciente apresentando crises de sobressalto provocadas por estímulos auditivos, sensitivos e visuais, sem crises epilépticas espontâneas nem retardo psicomotor. Estudam os aspectos clínicos e eletrencefalográficos e revisam a situação da entidade entre as assim chamadas epilepsias reflexas.

The case of a patient presenting startle seizures provoked by acoustic, sensitive and visual stimuli who did not present spontaneous epileptic seizures and had no psychomotor retard is reported. The clinical and electroencephalographic aspects with special mention to the finding of exaggerated evoked potentials in the vertex are discussed. The situation of the disease among reflex epilepsies is revised.

REGISTRO DE CASOS

Sobressalto patológico: aspectos clínicos e eletrencefalográficos

Startle seizures: clinical and electroencephalographic studies

Frederico Dahne Kliemann; Nelson Pires Ferreira

Instituto de Neurocirurgia de Porto Alegre (Prof. Elyseu Paglioli): Assistentes

RESUMO

Os autores relatam o caso de um paciente apresentando crises de sobressalto provocadas por estímulos auditivos, sensitivos e visuais, sem crises epilépticas espontâneas nem retardo psicomotor. Estudam os aspectos clínicos e eletrencefalográficos e revisam a situação da entidade entre as assim chamadas epilepsias reflexas.

SUMMARY

The case of a patient presenting startle seizures provoked by acoustic, sensitive and visual stimuli who did not present spontaneous epileptic seizures and had no psychomotor retard is reported. The clinical and electroencephalographic aspects with special mention to the finding of exaggerated evoked potentials in the vertex are discussed. The situation of the disease among reflex epilepsies is revised.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Instituto de Neurocirurgia Pavilhão São José, Hospital São Francisco Porto Alegre, RS Brasil.

Trabalho do Instituto de Neurocirurgia de Porto Alegre (Prof. Elyseu Paglioli), apresentado na 3ª reunião da Academia Brasileira de Neurologia (Guanabara, julho de 1966)

1. ALAJOUANINE, Th. & SCHERRER, J. Sur une syncinésie-sursaut déclenchée par le bruit. C. R. Ac. Sciences 234:2008-2010, 1952.
2. ALAJOUANINE, Th. & GASTAUT, H. La syncinésie-sursaut et l'épilepsiesursaut ŕ déclenchement sensoriel ou sensitif inopiné. I. Les faits anatomocliniques (15 observations). Rev. Neurol. 93:29-41, 1955.
3. ALAJOUANINE, Th. & GASTAUT, H. La syncinésie-sursaut et l'épilepsiesursaut ŕ déclenchement sensoriel ou sensitif inopiné. (Considérations sur les épilepsies dites réflexes). InAlajouanine, Th. Bases Physiologiques et Aspects Cliniques de l'Épilepsie, Masson & Cie., Paris, 1958.
4. BANCAUD, J.; BLOCH, V. & PAILLARD, J. Contribution EEG ŕ l'étude des potentiels évoqués chez l'homme au niveau du vertex. Rev. Neurol. 89:399-418, 1953.
5. BOOKER, H. E.; FORSTER, F. M. & KLÖVE, H. Extinction factors in startle (acoustico-motor) seizures. Neurology 15:1095-1103, 1965.
6. BOUDOURESQUES, J.; ROGER, J.; TASSINARI, C. A.; REGIS, H.; SALAMON, G. & CHIARELLI Réflexions ŕ propos d'un sursaut pathologique. Rev. Neurol. 111:561-570, 1964.
7. CIGANEK, L. The EEG response (evoked potential) to light stimulus in man. EEG. Clin. Neurophysiol. 13:165-172, 1961.
8. CONTAMIN, F. & CATHALA, H. P. Réponses électro-corticales de l'homme normal éveillé ŕ des éclairs lumineux. Resultats obtenus ŕ partir d'enregistrements sur le cuir chevelu, ŕ l'aide d'un dispositif d'integration. EEG. Clin. Neurophysiol. 13:674-694, 1961.
9. DAVIS, P. A. Effects of acoustic stimuli on the waking human brain. J. Neurophysiol. 2:494-499, 1939.
10. FORSTER, F. M. The Epilepsies and convulsives disorders. InBaker, A. B.: Clinical Neurology. Hoeber-Harper, New York, 1955.
11. GASTAUT, Y. Les pointes negatives évoquées sur le vertex. Leur signification psychophysiologique et pathologique. Rev. Neurol. 89:382-399, 1953.
12. LARSSON, L. E. Can the non-specific EEG response be an artefact caused by sclap movement? EEG. Clin. Neurophysiol. 12:502-504, 1960.
13. LARSSON, L. E. The relation between the startle reaction and the nonspecific EEG response to sudden stimuli with a discussion on the mechanism of arousal. EEG. Clin. Neurophysiol. 8:631-644, 1956.
14. LOOMIS, A. L.; HARVEY, E. N. & HOBART, B. Cerebral states during sleep as studied by human brain potentials. J. Exper. Psychol. 21:127-144, 1937.
15. OSWALD, I. A proposed origin of the non-specific EEG response. EEG. Clin. Neurophysiol. 11:341-343, 1959.
16. ROTH, M.; SHAW, J. & GREEN, J. The form, voltage distribution and physiological significance of the K-Complex. EEG. Clin. Neurophysiol. 8:385-402, 1956.
17. Terminology Committee of the International Federation for Electroencephalography and Clinical Neurophysiology. Proposal for an EEG terminology. EEG. Clin. Neurophysiol. 20:306-310, 1966.
18. VAMPRÉ, E. & TOLOSA, A. Cataplexia de causa mecânica. Perda súbita e momentânea do tonus de atitude por percussăo do crânio. Săo Paulo Médico 2:31-38, 1938.
19. WHITTERIDGE, D. & WALSH, E. G. The physiological basis oŁ the electroencepahlogram. InHill, D. & Parr, G. Electroencephalography. A Symposium on its Various Aspects. Macdonald & Co., London, 1963.

Datas de Publicação

Publicação nesta coleção
23 Maio 2013
Data do Fascículo
Jun 1967

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. ALAJOUANINE, Th. & SCHERRER, J. Sur une syncinésie-sursaut déclenchée par le bruit. C. R. Ac. Sciences 234:2008-2010, 1952.

[2] 2. ALAJOUANINE, Th. & GASTAUT, H. La syncinésie-sursaut et l'épilepsiesursaut ŕ déclenchement sensoriel ou sensitif inopiné. I. Les faits anatomocliniques (15 observations). Rev. Neurol. 93:29-41, 1955.

[3] 3. ALAJOUANINE, Th. & GASTAUT, H. La syncinésie-sursaut et l'épilepsiesursaut ŕ déclenchement sensoriel ou sensitif inopiné. (Considérations sur les épilepsies dites réflexes). InAlajouanine, Th. Bases Physiologiques et Aspects Cliniques de l'Épilepsie, Masson & Cie., Paris, 1958.

[4] 4. BANCAUD, J.; BLOCH, V. & PAILLARD, J. Contribution EEG ŕ l'étude des potentiels évoqués chez l'homme au niveau du vertex. Rev. Neurol. 89:399-418, 1953.

[5] 5. BOOKER, H. E.; FORSTER, F. M. & KLÖVE, H. Extinction factors in startle (acoustico-motor) seizures. Neurology 15:1095-1103, 1965.

[6] 6. BOUDOURESQUES, J.; ROGER, J.; TASSINARI, C. A.; REGIS, H.; SALAMON, G. & CHIARELLI Réflexions ŕ propos d'un sursaut pathologique. Rev. Neurol. 111:561-570, 1964.

[7] 7. CIGANEK, L. The EEG response (evoked potential) to light stimulus in man. EEG. Clin. Neurophysiol. 13:165-172, 1961.

[8] 8. CONTAMIN, F. & CATHALA, H. P. Réponses électro-corticales de l'homme normal éveillé ŕ des éclairs lumineux. Resultats obtenus ŕ partir d'enregistrements sur le cuir chevelu, ŕ l'aide d'un dispositif d'integration. EEG. Clin. Neurophysiol. 13:674-694, 1961.

[9] 9. DAVIS, P. A. Effects of acoustic stimuli on the waking human brain. J. Neurophysiol. 2:494-499, 1939.

[10] 10. FORSTER, F. M. The Epilepsies and convulsives disorders. InBaker, A. B.: Clinical Neurology. Hoeber-Harper, New York, 1955.

[11] 11. GASTAUT, Y. Les pointes negatives évoquées sur le vertex. Leur signification psychophysiologique et pathologique. Rev. Neurol. 89:382-399, 1953.

[12] 12. LARSSON, L. E. Can the non-specific EEG response be an artefact caused by sclap movement? EEG. Clin. Neurophysiol. 12:502-504, 1960.

[13] 13. LARSSON, L. E. The relation between the startle reaction and the nonspecific EEG response to sudden stimuli with a discussion on the mechanism of arousal. EEG. Clin. Neurophysiol. 8:631-644, 1956.

[14] 14. LOOMIS, A. L.; HARVEY, E. N. & HOBART, B. Cerebral states during sleep as studied by human brain potentials. J. Exper. Psychol. 21:127-144, 1937.

[15] 15. OSWALD, I. A proposed origin of the non-specific EEG response. EEG. Clin. Neurophysiol. 11:341-343, 1959.

[16] 16. ROTH, M.; SHAW, J. & GREEN, J. The form, voltage distribution and physiological significance of the K-Complex. EEG. Clin. Neurophysiol. 8:385-402, 1956.

[17] 17. Terminology Committee of the International Federation for Electroencephalography and Clinical Neurophysiology. Proposal for an EEG terminology. EEG. Clin. Neurophysiol. 20:306-310, 1966.

[18] 18. VAMPRÉ, E. & TOLOSA, A. Cataplexia de causa mecânica. Perda súbita e momentânea do tonus de atitude por percussăo do crânio. Săo Paulo Médico 2:31-38, 1938.

[19] 19. WHITTERIDGE, D. & WALSH, E. G. The physiological basis oŁ the electroencepahlogram. InHill, D. & Parr, G. Electroencephalography. A Symposium on its Various Aspects. Macdonald & Co., London, 1963.