Janszky J, Fogarasi A, Toth V, Magalova V, Gyimesi C, Kovacs N, Schulz R, Ebner A
Epilepsy Center Bethel, Bielefeld, Germany.
Epilepsy Behav. 2007 Aug;11(1):125-9. doi: 10.1016/j.yebeh.2007.04.015. Epub 2007 Jun 20.
We investigated peri-ictal vegetative symptoms (PIVS) in 141 patients with adult temporal lobe epilepsy (TLE) and assessed frequency, gender effect, and lateralizing value of peri-ictal autonomic signs. We recorded abdominal auras in 62%, goosebumps in 3%, hypersalivation in 12%, spitting in 1%, cold shivering in 3%, urinary urge in 3%, water drinking in 7%, postictal nose wiping (PNW) in 44%, and postictal coughing in 16%. At least one vegetative sign appeared in 86% of the patients. The presence of PIVS did not have a significant lateralizing value. PNW occurred in 52% of women and in 33% of men, whereas any PIVS was present in 93% of women and 77% of men. In summary, contradictory to previous studies, the presence of PIVS has no lateralizing value, which may be linked to a low frequency of occurrence of PIVS. PIVS, especially PNW, occurred more frequently in women, supporting the gender differences in epilepsy.
我们对141例成人颞叶癫痫（TLE）患者的发作期自主神经症状（PIVS）进行了研究，并评估了发作期自主神经体征的频率、性别差异及定位价值。我们记录到62%的患者有腹部先兆，3%有鸡皮疙瘩，12%有唾液分泌过多，1%有吐痰，3%有寒战，3%有尿急，7%有饮水，44%有发作后擦鼻（PNW），16%有发作后咳嗽。86%的患者至少出现一种自主神经体征。PIVS的出现没有显著的定位价值。PNW在52%的女性和33%的男性中出现，而任何PIVS在93%的女性和77%的男性中出现。总之，与先前的研究相反，PIVS的出现没有定位价值，这可能与PIVS的低发生率有关。PIVS，尤其是PNW，在女性中更频繁出现，支持了癫痫中的性别差异。
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