节律性发作期非阵挛性手部（RINCH）运动：颞叶癫痫中一种独特的对侧体征。
Rhythmic ictal nonclonic hand (RINCH) motions: a distinct contralateral sign in temporal lobe epilepsy.
作者信息
Lee George R, Arain Amir, Lim Noel, Lagrange Andre, Singh Pradumna, Abou-Khalil Bassel
机构信息
Department of Neurology, Vanderbilt University, Nashville, Tennessee 37232, USA.
出版信息
Epilepsia. 2006 Dec;47(12):2189-92. doi: 10.1111/j.1528-1167.2006.00858.x.
PURPOSE
To describe a new ictal sign in temporal lobe seizures-rhythmic ictal nonclonic hand (RINCH) motions and to determine its lateralizing significance and other ictal manifestations associated with it.
METHODS
We identified 15 patients with temporal lobe epilepsy who demonstrated RINCH motions and reviewed video-EEG recordings of all their seizures. We analyzed the epilepsy characteristics and all clinical features of recorded seizures, with particular attention to RINCH motions.
RESULTS
RINCH motions were unilateral, rhythmic, nonclonic, nontremor hand motions. RINCH motions were usually followed by posturing, sometimes with some overlap. They involved the hand contralateral to the temporal lobe of seizure onset in 14 of 15 patients.
CONCLUSIONS
RINCH motions are a distinct ictal sign that could be considered a specific type of automatism. They appear to be a lateralizing contralateral sign and are associated with dystonic posturing in temporal lobe epilepsy.
目的
描述颞叶癫痫发作的一种新的发作期体征——节律性发作期非阵挛性手部（RINCH）运动，并确定其定位意义以及与之相关的其他发作期表现。
方法
我们确定了15例出现RINCH运动的颞叶癫痫患者，并回顾了他们所有发作的视频脑电图记录。我们分析了记录发作的癫痫特征和所有临床特征，尤其关注RINCH运动。
结果
RINCH运动为单侧、节律性、非阵挛性、非震颤性手部运动。RINCH运动通常随后会出现姿势，有时会有部分重叠。15例患者中有14例的RINCH运动涉及癫痫发作起始颞叶对侧的手部。
结论
RINCH运动是一种独特的发作期体征，可被视为一种特定类型的自动症。它们似乎是一种对侧定位体征，且与颞叶癫痫中的张力障碍姿势相关。
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