Fossas P, Cano A, Sanz P, Palomeras E
Unidad de Neurología. Consorci Sanitari de Mataró. Mataró. Barcelona.
Neurologia. 2001 Aug-Sep;16(7):329-30.
The aim of this paper is to present the case of teenage patient with partial seizures fulfilling the criteria of benign partial seizures of adolescence. A 16-year-old male patient had two seizures with a sensory-motor "march" that evolved into a secondarily generalized tonic-clonic seizure on the same day. Several weeks before this event he had had several simple partial sensory seizures. The patient had no previous history of seizures and there was no family history of epilepsy. The neurological examination, EEG and magnetic resonance imaging were normal. The patient was treated with antiepileptic monotherapy during two years. The treatment was gradually tapered and withdrawn over the following six months. He has had no recurrences during the five years of follow-up. The early diagnosis of this entity has the significant prognostic and therapeutic repercussions.
本文旨在介绍一名青少年患者的病例,该患者患有部分性癫痫发作,符合青春期良性部分性癫痫的标准。一名16岁男性患者在同一天出现两次发作,先是感觉运动性“进展”,随后演变为继发性全身性强直阵挛发作。在此事件发生前几周,他曾有几次简单的部分性感觉发作。患者既往无癫痫发作史,也无癫痫家族史。神经学检查、脑电图和磁共振成像均正常。患者接受了两年的抗癫痫单药治疗。在接下来的六个月里,治疗逐渐减量并停药。在五年的随访中,他没有复发。该疾病的早期诊断具有重要的预后和治疗意义。