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一位患有癫痫并伴有电影画面样视幻觉的独特患者。

A unique patient with epilepsy with cinematographic visual hallucinations.

作者信息

Nelson Alexis E, Gilliam Frank, Acharya Jayant, Miranda Sabina

机构信息

Pennsylvania State University, Department of Neurology, Hershey, PA, United States; Uniformed Services University of the Health Sciences, Department of Neurology, Bethesda, MD, United States.

Pennsylvania State University, Department of Neurology, Hershey, PA, United States.

出版信息

Epilepsy Behav Case Rep. 2016 Apr 14;5:78-9. doi: 10.1016/j.ebcr.2016.04.001. eCollection 2016.

Abstract

PURPOSE

The purpose of this case report is to document a patient with cinematographic hallucinations, with corresponding right temporal lobe seizures on electroencephalogram (EEG).

RESULTS

The results showed that the patient's EEG was normal. The patient subsequently reported hallucinations, which had been occurring for the last several months. During monitoring, no interictal EEG abnormalities were identified, but a total of 11 partial seizures were captured originating from the right posterior temporal area. They either were subclinical or corresponded with his visual hallucinations.

CONCLUSION

The present study demonstrates focal seizures of temporal lobe origin producing complex visual hallucinations without a corresponding lesion on MRI brain imaging.

摘要

目的

本病例报告的目的是记录一名患有电影幻觉的患者,其脑电图(EEG)显示右侧颞叶癫痫发作。

结果

结果显示患者的脑电图正常。患者随后报告称在过去几个月里一直出现幻觉。在监测期间,未发现发作间期脑电图异常,但共捕捉到11次源自右侧颞后区的部分性发作。这些发作要么是亚临床的,要么与他的视幻觉相对应。

结论

本研究表明,颞叶起源的局灶性癫痫发作可产生复杂的视幻觉,而脑部磁共振成像(MRI)上无相应病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/714f/4878784/cc6e120b8fa7/gr1.jpg

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