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[《爱丽丝梦游仙境综合征:偏头痛中的一种异常先兆》]

[The Alice in Wonderland syndrome: an unusual aura in migraine].

作者信息

Bayen E, Cleret de Langavant L, Fénelon G

机构信息

Service de médecine physique et réadaptation, groupe hospitalier Pitié-Salpêtrière, 47-83 boulevard de l'hôpital, Paris, France.

出版信息

Rev Neurol (Paris). 2012 May;168(5):457-9. doi: 10.1016/j.neurol.2011.12.007. Epub 2012 Mar 9.

Abstract

INTRODUCTION

The Alice in Wonderland syndrome consists in a perceptual distortion of one's body size and shape. It is rarely encountered in adults, where it is mainly associated with migraine with aura and epilepsy.

CASE REPORT

A 37-year-old woman had had a migraine without aura since puberty. In the months following a parturition, she experienced several epidodes of unusual auras preceding typical migrainous headache. The aura lasted about 30min and consisted in the feeling of lengthening of the trunk and of the four limbs, associated with a sensation of well-being.

DISCUSSION AND CONCLUSION

Epileptologic and experimental data suggest that the Alice in Wonderland syndrome is associated with a transient dysfunction of associative somatosensory areas in the parietal cortex.

摘要

引言

爱丽丝梦游仙境综合征表现为对自身身体大小和形状的感知扭曲。在成年人中很少见,主要与伴有先兆的偏头痛和癫痫有关。

病例报告

一名37岁女性自青春期起就患有无先兆偏头痛。在分娩后的几个月里,她在典型偏头痛发作前经历了几次不同寻常的先兆发作。先兆持续约30分钟,包括躯干和四肢变长的感觉,并伴有幸福感。

讨论与结论

癫痫学和实验数据表明,爱丽丝梦游仙境综合征与顶叶皮质联合体感区的短暂功能障碍有关。

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