HYPERVENTILATION IN NORMAL SUBJECTS - A CLINICAL, GAS-ANALYTIC AND EMG STUDY

被引:6
作者
MONTAGNA, P
PANICCIA, M
MARCHELLO, L
RIVA, R
机构
[1] Institute of Neurology, University of Bologna, 40123 Bologna
来源
ELECTROMYOGRAPHY AND MOTOR CONTROL-ELECTROENCEPHALOGRAPHY AND CLINICAL NEUROPHYSIOLOGY | 1995年 / 97卷 / 03期
关键词
HYPERVENTILATION; EMG; HYPOCAPNIA; REPETITIVE EMG ACTIVITY; PARESTHESIA; TROUSSEAUS SIGN;
D O I
10.1016/0924-980X(94)00305-Q
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Clinical (paresthesiae and Trousseau's sign), EMG, blood biochemical (lactic acid and total Ca2+) and gas-analytic (pH, PCO2,- PO2, HCO3) changes were studied during and after 5 min voluntary hyperventilation-(HV) in 15 normal subjects. Paresthesiae and spontaneous motor activity were common manifestations (87% and 67% respectively) in our test. They were significantly related only to changes in pH, PCO2 and PO2, with paresthesiae arising earlier and at milder gas-analytic changes than motor activity. Paresthesiae and motor activity induced by HV cannot be used as reliable indicators of pathology. Their presence simply reflects the degree of-the blood gas-analytic changes (pH, PCO2 and PO2) which therefore should be carefully monitored before drawing any conclusion from an HV test.
引用
收藏
页码:159 / 163
页数:5
相关论文
共 15 条
[1]  
BRODTKORB E, 1990, ACTA NEUROL SCAND, V81, P307
[2]   PHYSIOLOGICAL EFFECTS OF HYPERVENTILATION [J].
BROWN, EB .
PHYSIOLOGICAL REVIEWS, 1953, 33 (04) :445-471
[3]   MICRONEUROGRAPHY, IMPULSE CONDUCTION, AND PARESTHESIAS [J].
BURKE, D .
MUSCLE & NERVE, 1993, 16 (10) :1025-1032
[4]   EFFECT OF INTRAVENOUS SODIUM BICARBONATE, DISODIUM EDETATE (NA2EDTA), AND HYPERVENTILATION ON VISUAL AND OCULOMOTOR SIGNS IN MULTIPLE SCLEROSIS [J].
DAVIS, FA ;
BECKER, FO ;
MICHAEL, JA ;
SORENSEN, E .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1970, 33 (06) :723-&
[5]  
FANCONI A, 1958, Q J MED, V27, P463
[6]  
Hardonk H., 1979, HDB CLIN NEUROLOGY, V38, P309
[7]   ACTIVATION OF HUMAN NERVES BY HYPERVENTILATION AND HYPOCALCEMIA - NEUROLOGIC MECHANISM OF SYMPTOMS OF IRRITATION IN TETANY [J].
KUGELBERG, E .
ARCHIVES OF NEUROLOGY AND PSYCHIATRY, 1948, 60 (02) :153-164
[8]   PARESTHESIA AND TETANY INDUCED BY VOLUNTARY HYPERVENTILATION - INCREASED EXCITABILITY OF HUMAN CUTANEOUS AND MOTOR AXONS [J].
MACEFIELD, G ;
BURKE, D .
BRAIN, 1991, 114 :527-540
[9]   SLOW WAVE PRODUCTION IN THE EEG, WITH REFERENCE TO HYPERPNOEA, CARBON DIOXIDE AND AUTONOMIC BALANCE [J].
MORRICE, JKW .
ELECTROENCEPHALOGRAPHY AND CLINICAL NEUROPHYSIOLOGY, 1956, 8 (01) :49-72
[10]   SCREENING FOR MITOCHONDRIAL CYTOPATHIES - THE SUB-ANAEROBIC THRESHOLD EXERCISE TEST (SATET) [J].
NASHEF, L ;
LANE, RJM .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1989, 52 (09) :1090-1094