Division of Neurology, Trinity Hospital, Borgomanero, Italy.
Epilepsy Behav. 2014 Jan;30:14-6. doi: 10.1016/j.yebeh.2013.09.011. Epub 2013 Oct 3.
In epilepsy, experiential phenomena and behavioral manifestations may pose a number of problems in terms of differential diagnosis. From a clinical point of view, ictal psychiatric symptoms represent partial seizures, mainly partial ones. In the majority of cases, they are very brief (lasting from a few seconds to a few minutes), stereotyped, out of context, and frequently associated with subtle or overt automatisms and postictal confusion of variable duration. In some cases, such symptoms are followed by alteration of consciousness as the ictus evolves to a complex partial seizure or a generalized tonic-clonic seizure. This paper reviews clinically relevant behavioral patterns during seizures discussing clinical phenomenology and relevance in terms of lateralizing value.
在癫痫中，体验性现象和行为表现可能在鉴别诊断方面存在一些问题。从临床角度来看，发作期精神症状代表部分发作，主要是部分发作。在大多数情况下，它们非常短暂（持续几秒钟到几分钟）、刻板、与上下文无关，并且经常伴有微妙或明显的自动症和发作后不同持续时间的意识模糊。在某些情况下，随着发作进展为复杂部分性发作或全面强直阵挛性发作，这些症状会导致意识改变。本文综述了发作期间具有临床相关性的行为模式，讨论了其临床现象学以及在定位价值方面的相关性。
