Ribeiro Joana Jesus, Sousa Mário, Teotónio Rute, Bento Conceição, Sales Francisco
Department of Neurology, Coimbra University Hospital Center, Coimbra, Portugal.
Epileptic Disord. 2015 Mar;17(1):72-6; quiz 76. doi: 10.1684/epd.2015.0732.
Two elderly men, with previous history of cerebrovascular disease, were admitted to the emergency department due to focal motor status epilepticus with persistent myoclonic jerks of one side of the body. In both cases, the clinical picture evolved into a unilateral and isolated arrhythmic myoclonus of the abdominal muscles with preserved consciousness. These involuntary movements resolved with antiepileptic drugs. Although cerebrovascular disease is one of the most common causes of epilepsia partialis continua, reported cases in the literature with predominant abdominal involvement have a different aetiology. The neuroimaging and electroencephalographic findings showed a wide spectrum of different localizations and aetiologies associated with this particular type of epileptic seizure. Indeed, the pathophysiology of focal motor seizures involving the abdominal muscles is still a matter of discussion. In our second case, we present a patient with epilepsia partialis continua of the abdominal wall with an occipital focus, which, to the best of our knowledge, has not been previously reported. [Published with video sequences].
两名有脑血管疾病史的老年男性因局灶性运动性癫痫持续状态伴身体一侧持续性肌阵挛抽搐而入住急诊科。在这两个病例中，临床表现均演变为腹部肌肉单侧且孤立的无节律性肌阵挛，意识保留。这些不自主运动通过抗癫痫药物得以缓解。虽然脑血管疾病是部分性癫痫持续状态最常见的病因之一，但文献报道中以腹部受累为主的病例病因不同。神经影像学和脑电图检查结果显示，与这种特殊类型癫痫发作相关的定位和病因多种多样。事实上，涉及腹部肌肉的局灶性运动性癫痫的病理生理学仍是一个有争议的问题。在我们的第二个病例中，我们介绍了一名患有腹壁部分性癫痫持续状态且病灶位于枕叶的患者，据我们所知，此前尚未有过相关报道。[随视频序列发表]
