Mempel E, Tarnecki R, Walerian P, Purska-Rowińska E, Horsztyński D
Kliniki Neurochirurgii ICMDiK PAN, Warszawie.
Neurol Neurochir Pol. 1992;Suppl 1:185-91.
The paper presents the results of the analysis of atonic epileptic seizures with application of brain mapping eeg. The views to date on the pathogenesis of atonic seizures could be based on the assumptions of centrencephalic epilepsy voiced by Penfield and Jasper. The present investigations and electrophysiological-clinical observations support, however, contrary to the concept of Penfield and Jasper, the cortical origin of these seizures. The discussion on the clinical forms of atonic seizures in epilepsy, confirmed by analysis of brain mapping in the domain of frequencies and amplitude distribution, in the form of brain topograms, allows for the concept of cortical origin of these seizures with the probability of localisation of the epileptic focus, as in here presented case, in the anterior right paramedial frontal region of the brain.
本文介绍了应用脑图谱脑电图分析失张力性癫痫发作的结果。迄今为止，关于失张力性发作发病机制的观点可能基于彭菲尔德和贾斯珀提出的中央脑性癫痫的假设。然而，与彭菲尔德和贾斯珀的概念相反，目前的研究和电生理临床观察支持这些发作起源于皮质。通过对频率和振幅分布领域的脑图谱分析（以脑地形图的形式）证实了关于癫痫中失张力性发作临床形式的讨论，这使得这些发作起源于皮质的概念以及癫痫病灶定位的可能性成为可能，如本文所呈现的病例，癫痫病灶位于脑右前内侧额叶区域。
