Shuper Avinoam, Goldberg-Stern Hadassa
Department of Neurology, Schneider Children's Medical Center of Israel, Petah Tiqva 49202, Israel.
Pediatr Neurol. 2004 Oct;31(4):283-6. doi: 10.1016/j.pediatrneurol.2004.04.013.
Vomiting is rarely the main ictal manifestation of epilepsy, and it is likely associated with more than one type of epilepsy. Its possible mechanism involves the spread of abnormal electrical activity through descending insular or limbic circuits. This report describes a child with difficult-to-control ictal vomiting arising from a left temporal epileptic focus. Ictus emeticus is a specific epileptic presentation which can have a chronic, intractable nature requiring repetitive therapeutic trials with antiepileptic medications. In the patient described here, the disease posed a diagnostic dilemma in its early stages. The ictal electroencephalogram is crucial for the diagnosis.
呕吐很少是癫痫发作的主要表现，它可能与不止一种类型的癫痫有关。其可能的机制涉及异常电活动通过下行岛叶或边缘系统回路的扩散。本报告描述了一名因左侧颞叶癫痫病灶引起的难以控制的发作性呕吐患儿。呕吐性癫痫发作是一种特殊的癫痫表现，可能具有慢性、难治性的特点，需要反复进行抗癫痫药物治疗试验。在此描述的患者中，该疾病在早期阶段造成了诊断困境。发作期脑电图对诊断至关重要。
