Sano J, Furuta H, Maeda Y, Ueno K, Yamamori S, Nakagawa K, Kido H, Yamaguchi N
Division of Neurology, National Kanazawa Hospital, Japan.
Jpn J Psychiatry Neurol. 1991 Jun;45(2):485-6. doi: 10.1111/j.1440-1819.1991.tb02528.x.
A 34-year-old housewife with nonconvulsive status epilepticus was followed up for 20 years since the initial fit. She maintained some contact with reality during the stupor and recalled the episode to some extent, while the EEG showed continuous spike-wave complexes. During the clinical course, the main type of seizures was spike-wave stupor, of which the maximum frequency was several times a week in the hospital and the duration was many minutes to several hours, and also secondarily generalized convulsive seizures occurred approximately once a month. The lasting control of spike-wave stupor was not achieved in spite of the various medications for the long follow-up period. The ictal EEGs of spike-wave stupor always showed the frontal origin. The meaning of the term "nonconvulsive status epilepticus" in this case was briefly discussed.
一名患有非惊厥性癫痫持续状态的34岁家庭主妇自首次发作后接受了20年的随访。在昏迷期间，她仍与现实保持一定联系，并能在一定程度上回忆起发作情况，而脑电图显示为持续的棘慢复合波。在临床过程中，主要的发作类型是棘慢波昏迷，在医院时其最高发作频率为每周数次，持续时间为数分钟至数小时，此外还大约每月发生一次继发性全身性惊厥发作。尽管在长期随访期间使用了各种药物，但棘慢波昏迷仍未得到持久控制。棘慢波昏迷的发作期脑电图始终显示起源于额叶。本文简要讨论了该病例中“非惊厥性癫痫持续状态”一词的含义。
