Division of Neurology, Department of Medicine, Faculty of Medicine, Memorial University of Newfoundland, Newfoundland, Canada.
EEG Laboratory, The General Hospital, St John's, Newfoundland, Canada.
Behav Neurol. 1993;6(4):215-9. doi: 10.3233/BEN-1993-6407.
Musicogenic epilepsy is a rare disorder. Much remains to be learned about the electroclinical features. This report describes a patient who has been followed at our institution for 17 years, and was investigated with long-term telemetered simultaneous video-EEG recordings. She began to have seizures at the age of 10 years. She experienced complex partial seizures, often preceded by elementary auditory hallucination and complex auditory illusion. The seizures occurred in relation to singing, listening to music or thinking about music. She also had occasional generalized tonic clonic seizures during sleep. There was no significant antecedent history. The family history was negative for epilepsy. The physical examination was unremarkable. CT and MRI scans of the brain were normal. During long-term simultaneous video-EEG recordings, clinical and electrographic seizure activities were recorded in association with singing and listening to music. Mathematical calculation, copying or viewing geometric patterns and playing the game of chess failed to evoke seizures.
音乐性癫痫是一种罕见的疾病。关于其电临床特征，仍有许多需要了解的地方。本报告描述了一位在我院接受了 17 年随访的患者，并对其进行了长期遥测同步视频-EEG 记录的检查。她在 10 岁时开始出现癫痫发作。她经历了复杂部分性发作，这些发作通常伴有基本的听觉幻觉和复杂的听觉错觉。这些发作与唱歌、听音乐或思考音乐有关。她在睡眠中也偶尔会出现全身性强直阵挛性发作。她没有明显的癫痫病史。家族史中没有癫痫。体格检查无明显异常。脑 CT 和 MRI 扫描均正常。在长期同步视频-EEG 记录期间，临床和脑电图癫痫活动与唱歌和听音乐有关。数学计算、复制或观察几何图案以及下棋都没有引发癫痫发作。
