Nechay A, Ross L M, Stephenson J B P, O'Regan M
Neurology department, Paediatric Hospital No. 1, Kyiv, Ukraine.
Arch Dis Child. 2004 Mar;89(3):225-6. doi: 10.1136/adc.2003.032102.
Little has been published on gratification disorder ("infantile masturbation") in early childhood.
To expand on the profile of patients diagnosed with this condition.
Retrospective case note review; Fraser of Allander Neurosciences Unit paediatric neurology outpatient department 1972-2002.
Thirty one patients were diagnosed (11 males and 20 females). Twenty one were referred for evaluation of possible epileptic seizures or epilepsy. The median age at first symptoms was 10.5 months (range 3 months to 5 years 5 months). The median age at diagnosis was 24.5 months (range 5 months to 8 years). The median frequency of events was seven times per week, and the median length 2.5 minutes. Events occurred in any situation in 10 children, and in a car seat in 11. Types of behaviour manifested were dystonic posturing in 19, grunting in 10, rocking in 9, eidetic imagery in 7, and sweating in 6. Two children had been previously diagnosed as having definite epilepsy. In nine cases home video was invaluable in allowing confident diagnosis.
Gratification disorder, otherwise called infantile masturbation, is an important consideration in the differential diagnosis of epilepsy and other paroxysmal events in early childhood. Home video recording of events often prevents unnecessary investigations and treatments.
关于幼儿期满足性障碍（“婴儿期自慰”）的文献报道较少。
详细描述被诊断为此病症的患者情况。
回顾性病例记录审查；1972年至2002年阿兰德神经科学单位弗雷泽儿科神经科门诊。
共诊断出31例患者（11例男性，20例女性）。其中21例因可能的癫痫发作或癫痫前来评估。首次出现症状的中位年龄为10.5个月（范围3个月至5岁5个月）。诊断时的中位年龄为24.5个月（范围5个月至8岁）。事件发生的中位频率为每周7次，中位时长为2.5分钟。10名儿童在任何情况下都会出现这些事件，11名儿童在汽车座椅上出现。表现出的行为类型包括19例肌张力障碍姿势、10例呼噜声、9例摇晃、7例遗觉象、6例出汗。两名儿童此前被确诊患有明确的癫痫。9例中，家庭录像对明确诊断非常有价值。
满足性障碍，即婴儿期自慰，是幼儿期癫痫和其他发作性事件鉴别诊断中的重要考虑因素。事件的家庭录像记录通常可避免不必要的检查和治疗。
