Department of Neurology, Graduate School of Medicine, Kyoto University, Sakyoku, Japan.
Epileptic Disord. 2013 Jun;15(2):197-202. doi: 10.1684/epd.2013.0567.
We report a patient with prolonged monoparesis and parietal periodic lateralised epileptiform discharges (PLEDs). The patient was a 73-year-old man with chronic myelomonocytic leukaemia who developed persisting monoparesis of the right arm, sensory aphasia, and finger agnosia, initially associated with focal clonic seizures. These neurological deficits remained for seven days without subsequent focal clonic seizures. The EEG showed left-sided PLEDs, maximal in the left occipito-parietal area. Ten days later, following phenytoin treatment, these symptoms suddenly improved and parietal PLEDs disappeared. Sustained PLEDs in the left parietal region may have been causally associated with ictal paresis in this patient.
我们报告了一例持续性单瘫和顶叶周期性偏侧癫痫样放电（PLEDs）的患者。患者为 73 岁男性，患有慢性髓单核细胞白血病，出现持续性右臂单瘫、感觉性失语和手指失认，最初伴有局灶性阵挛性发作。这些神经功能缺损持续了七天，没有随后的局灶性阵挛性发作。脑电图显示左侧 PLEDs，左枕顶区最明显。十天后，在苯妥英钠治疗后，这些症状突然改善，顶叶 PLEDs 消失。左顶叶区域的持续 PLEDs 可能与该患者的发作性瘫痪有因果关系。
