Striano S, Barbieri F, Bilo L, Meo R, Ruosi P, Soricellis M
Clinica Neurologica, II Facoltà di Medicina e Chirurgia, Università degli Studi, Napoli.
Acta Neurol (Napoli). 1990 Jun;12(3):193-9.
A patient who, two years after the surgical excision of a right frontal astrocytoma, presented with recurrent episodes of Partial Status Epilepticus of long duration is described. Ictal manifestations are initially inconspicuous from a clinical standpoint, but are accompanied by a marked interictal impairment of consciousness. The EEGs show a persistent depression of the background activity and very frequent subclinical right frontal discharges. Successively, seizures become more evident with polymorphic features (versive, oculoclonic, somatomotor, autonomic, automatic, laughing manifestations). The difficulties of an early definition of the clinical picture and the diagnostic importance of the EEG study are stressed, together with other peculiar features (polymorphism of seizures, difficulties of management, progressive mental impairment occurring after every episode of Status Epilepticus).
本文描述了一名患者，其在右额叶星形细胞瘤手术切除两年后，出现了长时间的部分性癫痫持续状态反复发作。从临床角度来看，发作期表现最初并不明显，但伴有明显的发作间期意识障碍。脑电图显示背景活动持续抑制，且右侧额叶频繁出现亚临床放电。随后，癫痫发作变得更加明显，具有多形性特征（转侧、眼球阵挛、躯体运动、自主神经、自动症、发笑表现）。强调了早期明确临床症状的困难以及脑电图研究的诊断重要性，同时还提到了其他特殊特征（发作的多形性、治疗困难、每次癫痫持续状态发作后出现的进行性精神损害）。
