Septien L, Gras P, Giroud M, Dumas R
Service de Neurologie, CHU Dijon.
Rev Neurol (Paris). 1992;148(11):712-5.
We report the fifth case of a palsy of the lips, the tongue and the pharynx corresponding to an acute pseudo-bulbar syndrome causing speech arrest, and hyper-sialorrhea. The clinical examination and the electroencephalograms showed a partial motor status with spikes discharges in the two central regions, in a 10-year old boy known to have epilepsy with rolandic spikes. The status epilepticus ceased with phenytoin therapy. Although epilepsy with rolandic spikes is a benign one without any cerebral lesion, a partial motor status epilepticus is possible and does not change prognosis.
我们报告了第五例与急性假性球麻痹综合征相关的唇、舌及咽部麻痹病例，该综合征导致言语停顿和流涎过多。临床检查和脑电图显示，一名10岁患有罗兰多棘波癫痫的男孩存在双侧中央区棘波放电的部分运动状态。癫痫持续状态经苯妥英治疗后终止。尽管伴有罗兰多棘波的癫痫是一种无任何脑病变的良性癫痫，但仍可能发生部分运动性癫痫持续状态，且不改变预后。
