Chabolla David R, Shih Jerry J
Department of Neurology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
Epilepsy Behav. 2006 Sep;9(2):307-11. doi: 10.1016/j.yebeh.2006.06.009. Epub 2006 Jul 27.
The postictal behavior of responding to questions in a whispering voice or responding to commands with partial motor responses has not, to our knowledge, been previously associated with psychogenic nonepileptic seizures. We performed a retrospective review of 100 consecutive patients admitted to the epilepsy monitoring unit for evaluation of medically refractory seizures or clinically indeterminate spells to determine if this association exists. Twenty-four patients had a diagnosis of psychogenic nonepileptic seizures, and 18 of the 24 (75%) exhibited postictal whispering voice or partial motor responses. None of the patients diagnosed as having epileptic seizures or other physiologic events exhibited these postictal signs. We conclude that postictal behavior may be helpful in the diagnosis of psychogenic nonepileptic seizures, and whispering or partial motor responses to commands may be commonly observed.
据我们所知，发作后以低语回答问题或对指令做出部分运动反应的行为此前尚未与精神性非癫痫性发作相关联。我们对连续100例因药物难治性癫痫发作或临床情况不明的发作而入住癫痫监测病房的患者进行了回顾性研究，以确定是否存在这种关联。24例患者被诊断为精神性非癫痫性发作，其中18例（75%）出现了发作后低语或部分运动反应。被诊断为癫痫发作或其他生理事件的患者均未出现这些发作后体征。我们得出结论，发作后行为可能有助于精神性非癫痫性发作的诊断，并且可能经常观察到对指令的低语或部分运动反应。
