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[一例伴有中央颞区棘波的良性部分性癫痫患者的发作期脑电图亚临床模式]

[Ictal electroencephalographic subclinical pattern in a case of benign partial epilepsy with centrotemporal spikes].

作者信息

de Andrade Daniela Oliveira

机构信息

Setor de Neurofisiologia Clínica, Rede Sarah de Hospitais de Reabilitação, Salvador BA, Brasil.

出版信息

Arq Neuropsiquiatr. 2005 Jun;63(2A):360-3. doi: 10.1590/s0004-282x2005000200033.

Abstract

There are few reports of the ictal pattern of benign partial epilepsy with centrotemporal Spikes (BECTS) in the literature. This paper describes the case of a 7-year-old boy without significant perinatal history or psychomotor development delay. There was positive family history of seizures. Magnetic resonance imaging scans of the head was normal. The patient had a nocturnal isolated seizure, followed by a postictal motor deficit at the left arm. The EEG two days after the seizure showed a normal background activity with spikes in the centrotemporal bilateral area, and two subclinicals rhythmic discharges of spike and wave, with a duration of more than 50 seconds in the right centrotemporal area. This pattern of rhythmic discharge wasn not described in BECTS before.

摘要

文献中关于伴中央颞区棘波的良性部分性癫痫(BECTS)发作模式的报道较少。本文描述了一名7岁男孩的病例,该男孩无明显围产期病史或精神运动发育迟缓。有癫痫发作的家族史。头部磁共振成像扫描正常。患者夜间出现单次发作,随后左臂出现发作后运动功能缺损。发作两天后的脑电图显示背景活动正常,双侧中央颞区有棘波,右侧中央颞区有两个亚临床节律性棘波和慢波放电,持续时间超过50秒。这种节律性放电模式以前在BECTS中未被描述过。

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