Béquet D, Bodiguel E, Renard J L, Goasguen J
Service de Neurologie, Hôpital d'Instruction des Armées du Val-de-Grâce.
Rev Neurol (Paris). 1990;146(2):147-50.
The cases of non convulsive, complex, partial ailment are a cause of a confusional state. Such a case on an adult is here reported, and its clinical presentation was a unvarying forgetfulness together with elements of a frontal syndrome. The aetiology was most probably a viral meningo-encephalitis. Clinical semiology of these "EMPC" is variable, either made of partial, recurrent attacks, sometimes with automatisms, or made of a continuous, possibly fluctuating, confusional state. Attacks shown on the EEG are partial or generalized with a variable start, sometimes bilateral, even continuous or discontinuous. The onset is most often temporal or frontal. The cause is very rarely found out. The evolution is usually good, but extended deficiencies of memory are described, linked to the duration (more than 12 hours) of EMPC. Therefore, the treatment must be precocious using diazepam or phenytoin.
非惊厥性、复杂性、部分性疾病病例是导致意识模糊状态的一个原因。本文报告了一例成人此类病例，其临床表现为持续的遗忘症以及额叶综合征的一些症状。病因很可能是病毒性脑膜脑炎。这些“EMPC”的临床症状学是多变的，要么由部分性、反复发作组成，有时伴有自动症，要么由持续的、可能波动的意识模糊状态组成。脑电图显示的发作是部分性或全身性的，起始情况各异，有时是双侧的，甚至是持续或不连续的。发作起始部位最常见于颞叶或额叶。病因很少能查明。病情演变通常良好，但有报告称存在与EMPC持续时间（超过12小时）相关的长期记忆缺陷。因此，必须尽早使用地西泮或苯妥英进行治疗。
