Lv Yudan, Wang Zan, Chu Fengna, Liu Chang, Meng Hongmei
Department of Neurology and Neuroscience Center, The First Hospital of Jilin University, ChangChun, People's Republic of China.
Neuropsychiatr Dis Treat. 2016 Sep 19;12:2363-2366. doi: 10.2147/NDT.S112145. eCollection 2016.
Epilepsia partialis continua (EPC) is a particular type of epilepsy which is distinguished from "common epilepsy" by its characteristic semiological features. However, unusual manifestations should be described in order to give awareness at clinical diagnosis. In this case report we describe a rare EPC case not previously reported, in which left shoulder joint-trunk-hip joint jerk was present for 1 week. Abnormal electroencephalogram and cerebrospinal fluid results supported a diagnosis of viral encephalitis. Antiepileptic treatment seemed effective. Our report emphasizes that a detailed functional anatomical analysis and synchronized electroencephalogram discharge should be done to avoid misdiagnosis in patients with synchronic shoulder-trunk-hip jerk symptoms.
持续性部分性癫痫(EPC)是一种特殊类型的癫痫,其凭借独特的症状学特征有别于“普通癫痫”。然而,为了在临床诊断时提高认识,应描述不寻常的表现。在本病例报告中,我们描述了一例此前未报道过的罕见EPC病例,其中左侧肩关节-躯干-髋关节抽搐持续了1周。异常脑电图和脑脊液检查结果支持病毒性脑炎的诊断。抗癫痫治疗似乎有效。我们的报告强调,对于有同步性肩部-躯干-髋部抽搐症状的患者,应进行详细的功能解剖分析和同步脑电图放电检查,以避免误诊。