Yacubian E M, Castro L H, Grossmann R M, Marques-Assis L
Divisão de Clínica Neurológica, Hospital das Clinicas da FMUSP São Paulo, Brasil.
Arq Neuropsiquiatr. 1990 Sep;48(3):355-9. doi: 10.1590/s0004-282x1990000300015.
Primary reading epilepsy is a rare form of reflex epilepsy, in which reading is the specific stimulus evoking attacks. The authors report a case of an 18-year-old man who since the age of 17 presented myoclonic jaw jerking provoked exclusively by reading. In one episode, in which reading was not interrupted, jerks were followed by a generalized convulsive seizure. EEG with routine activating procedures was normal, while EEG recorded during reading showed bilaterally synchronous paroxysmal small-voltage spikes, more prominent in frontocentral regions, coinciding with jaw myoclonus. Complete clinical seizures control and EEG normalization were achieved with clonazepam 2 mg daily in a 24-month follow-up.
原发性阅读性癫痫是反射性癫痫的一种罕见形式，其中阅读是诱发发作的特定刺激因素。作者报告了一例18岁男性病例，该患者自17岁起出现仅由阅读诱发的肌阵挛性下颌抽搐。在一次阅读未中断的发作中，抽搐后出现了全身性惊厥发作。常规激活程序下的脑电图正常，而阅读时记录的脑电图显示双侧同步阵发性小电压棘波，在前额中央区域更为明显，与下颌肌阵挛同时出现。在24个月的随访中，每日服用2毫克氯硝西泮实现了临床癫痫发作的完全控制和脑电图正常化。
