Boller F, Wright D G, Cavalieri R, Mitsumoto H
Neurology. 1975 Nov;25(11):1026-8. doi: 10.1212/wnl.25.11.1026.
A 65-year-old man had nightmares a few weeks after a right temporal lobe infarction. Electroencephalography showed no epileptic activity. Therapy with diphenylhydantoin produced complete remission of his symptoms. On the bases of their acute onset, their association with sleep, their occasional occurrence while the patient was awake, the lack of effect of diazepam and flurazepam, and the good response to diphenylhydantoin, we propose that these episodes were partial seizures secondary to the right temporal lobe lesion.
一名65岁男性在右侧颞叶梗死几周后出现噩梦。脑电图显示无癫痫活动。苯妥英治疗使他的症状完全缓解。基于这些症状的急性发作、与睡眠的关联、患者清醒时偶尔出现、地西泮和氟西泮无效以及对苯妥英反应良好,我们认为这些发作是继发于右侧颞叶病变的部分性癫痫发作。