Salas-Puig J, Parra J, Fernández-Torre J L
Servicio de Neurología, Hospital General de Asturias, Oviedo, España.
Rev Neurol. 2000 Jun;30 Suppl 1:S81-4.
The commonest reflex seizures are those induced by visual stimuli, and amongst these, those provoked by intermittent luminous stimulus.
A directed anamnesis and suitable intermittent light stimulation are important during electroencephalographic studies for the confirmation of the diagnosis of photosensitive epilepsy. The photogenic epilepsies, that is those in which all the epileptic seizures are provoked by visual stimuli, form a small group of epilepsies within the idiopathic generalized epilepsies with their onset during adolescence. These seizures have had great social impact, since media diffusion of the possibility of their appearance whilst watching television or playing video games.
The correct diagnosis and preventive measures, together with the correct anti-epileptic treatment are in favour of a good prognosis in the great majority of patients.
最常见的反射性癫痫发作是由视觉刺激诱发的,其中,由间歇性光刺激引发的发作最为常见。
在脑电图检查过程中,定向问诊和适当的间歇性光刺激对于确诊光敏性癫痫很重要。光原性癫痫,即所有癫痫发作均由视觉刺激诱发的癫痫,在特发性全身性癫痫中占一小部分,发病于青春期。这些发作产生了巨大的社会影响,因为媒体传播了在看电视或玩电子游戏时可能出现发作的信息。
正确的诊断、预防措施以及正确的抗癫痫治疗有利于绝大多数患者获得良好的预后。