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持续性部分性癫痫:症状学与鉴别诊断

Epilepsia partialis continua: semiology and differential diagnoses.

作者信息

Bien Christian G, Elger Christian E

机构信息

Dept. of Epileptology, University of Bonn, Germany.

出版信息

Epileptic Disord. 2008 Mar;10(1):3-7. doi: 10.1684/epd.2008.0161.

Abstract

Epilepsia partialis continua (EPC) is a rare form of focal status epilepticus. It may have vascular, immune-mediated, neoplastic or metabolic-toxic causes. The origin of EPC has been linked with the motor cortex. This has been solidly supported by sophisticated electrophysiological studies. Here, a series of video sequences from patients with EPC (due to Rasmussen encephalitis, early-stage multiple sclerosis, and steroid responsive encephalopathy with autoimmune thyroiditis), and other cases with repetitive myoclonic jerks or movement disorders (myoclonic epilepsy associated with ragged-red fibers, Jacksonian march, myoclonic seizures in other types of frontal lobe or idiopathic generalized epilepsies, and different types of tremor) is presented. [Published with video sequences].

摘要

持续性部分性癫痫(EPC)是一种罕见的局灶性癫痫持续状态形式。它可能由血管性、免疫介导性、肿瘤性或代谢毒性原因引起。EPC的起源与运动皮层有关。这已得到复杂电生理研究的确凿支持。在此,展示了一系列来自EPC患者(由拉斯穆森脑炎、早期多发性硬化症以及伴有自身免疫性甲状腺炎的类固醇反应性脑病引起)的视频序列,以及其他伴有重复性肌阵挛抽搐或运动障碍的病例(与破碎红纤维相关的肌阵挛性癫痫、杰克逊癫痫发作扩展、其他类型额叶或特发性全身性癫痫中的肌阵挛发作以及不同类型的震颤)。[随视频序列发表]

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