Uldall P V, Berg L S, Alving J
Epilepsihospitalet, Dianalund.
Ugeskr Laeger. 1991 Mar 25;153(13):935-9.
Pseudoepileptic seizures (pseudoseizures) are defined as episodic disturbances of behaviour with elements of epileptic seizures, but with atypical features and not accompanied by abnormal EEG discharges. They are frequently seen in patients with epilepsy, but also as the only disturbance of function. In children, the possible pathogenetic mechanisms are less understood than in adults. We present a series of cases, showing that an important factor in development of pseudoseizures lies in disturbances of communication between children and parents within the family. However, there are large interindividual variations in the most probable underlying mechanisms. Some recommendations as regards treatment are given.
假性癫痫发作(伪发作)被定义为具有癫痫发作特征的发作性行为障碍,但具有非典型特征且不伴有脑电图异常放电。它们在癫痫患者中很常见,但也可作为唯一的功能障碍出现。与成人相比,儿童假性癫痫发作可能的发病机制了解较少。我们报告了一系列病例,表明假性癫痫发作发生的一个重要因素在于家庭中儿童与父母之间的沟通障碍。然而,最可能的潜在机制存在很大的个体差异。文中给出了一些关于治疗的建议。