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电子游戏性癫痫的电临床研究

Electroclinical study of video-game epilepsy.

作者信息

Maeda Y, Kurokawa T, Sakamoto K, Kitamoto I, Ueda K, Tashima S

机构信息

Department of Pediatrics, Faculty of Medicine, Kyushu University, Fukuoka, Japan.

出版信息

Dev Med Child Neurol. 1990 Jun;32(6):493-500. doi: 10.1111/j.1469-8749.1990.tb16974.x.

Abstract

Seven patients (five boys, two girls) with video-game epilepsy (VGE) are reported, which reflects the fact that these games have increased in popularity recently among Japanese children. Their ages at onset ranged from four to 13 years. The seizure phenomena were of three types: generalised tonic-clonic, partial seizure and headache. Interictal physical and neurological examinations were within normal limits. EEGs taken while they played video-games confirmed the diagnosis of VGE and revealed three triggers of seizures: flashing lights, special figure patterns and scene-changing. They were recommended to avoid playing video-games, but sodium valproate was effective if seizures persisted even after such avoidance.

摘要

本文报告了7例视频游戏性癫痫(VGE)患者(5名男孩,2名女孩),这反映出此类游戏近来在日本儿童中日益流行的现状。他们的起病年龄在4至13岁之间。癫痫发作现象有三种类型:全身性强直阵挛发作、部分性发作和头痛。发作间期的体格检查和神经学检查均在正常范围内。在他们玩电子游戏时进行的脑电图检查证实了VGE的诊断,并揭示了三种发作诱因:闪烁的灯光、特殊图形模式和场景切换。建议他们避免玩电子游戏,但如果即使避免玩游戏后癫痫仍持续发作,丙戊酸钠治疗有效。

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