Niedermeyer E, Fineyre F, Riley T, Uematsu S
Arch Neurol. 1979 Jul;36(7):417-21. doi: 10.1001/archneur.1979.00500430047006.
Two patients, aged 23 and 74 years, manifested prolonged episodes of mildly impaired consciousness in conjunction with rhythmical spike waves or spikes (mostly 3/s). This paroxysmal EEG activity was consistently accentuated unilaterally over the superior frontal regions. The first patient showed ictal aphasia and occasional right hemiparesis during these episodes, and partial left frontal lobectomy resulted in temporary freedom from seizures. The classification of these ictal episodes is difficult. They apparently fall into the category of absence status (petit mal status), but the focal neurological signs do not fit the presently valid definitions of absence status, nor does the lack of symmetrical bilateral-synchronous paroxysmal discharges. Perhaps a special category of status epilepticus should be established.
两名患者，年龄分别为23岁和74岁，表现出意识轻度受损的持续发作，并伴有节律性棘波或尖波（大多为3次/秒）。这种阵发性脑电图活动始终在额上区单侧增强。第一名患者在这些发作期间出现发作性失语和偶尔的右侧偏瘫，部分左额叶切除术使癫痫发作暂时缓解。这些发作期发作的分类很困难。它们显然属于失神状态（小发作状态）类别，但局灶性神经体征不符合目前有效的失神状态定义，双侧对称同步阵发性放电的缺乏也不符合。也许应该建立一种特殊类型的癫痫持续状态。
