de Andrade Daniela Oliveira
Setor de Neurofisiologia Clínica, Rede Sarah de Hospitais de Reabilitação, Salvador BA, Brasil.
Arq Neuropsiquiatr. 2005 Jun;63(2A):360-3. doi: 10.1590/s0004-282x2005000200033.
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.
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。