Krishnaiah Balaji, Acharya Jayant, Ahmed Aiesha
Department of Neurology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA.
Neurol India. 2018 Mar-Apr;66(Supplement):S131-S134. doi: 10.4103/0028-3886.226448.
Seizures are followed by a post-ictal period, which is characterized by usual slowing of brain activity. This case report describes a 68-year old woman who presented with right-sided rhythmic, non-voluntary, semi-purposeful motor behavior that started 2 days after an episode of generalized seizure. Her initial electroencephalogram (EEG) showed beta activity with no evidence of epileptiform discharges. Computed tomography scan showed hypodensity in the left parieto-occipital region. Magnetic resonance imaging (MRI) showed restricted diffusion/fluid-attenuated inversion recovery hyperintensities in the left precentral and post-central gyrus. Unilateral compulsive motor behavior during the post-ictal state should be considered, and not confused with partial status epilepticus to avoid unnecessary treatment. Abnormal magnetic resonance imaging (MRI) findings, which are reversible, can help with the diagnostic and therapeutic approach.
癫痫发作后会进入发作后期，其特征通常是脑活动减缓。本病例报告描述了一名68岁女性，在一次全身性癫痫发作后2天出现右侧有节奏、非自主、半目的性的运动行为。她最初的脑电图（EEG）显示为β波活动，无癫痫样放电证据。计算机断层扫描显示左侧顶枕区低密度影。磁共振成像（MRI）显示左侧中央前回和中央后回有弥散受限/液体衰减反转恢复高信号。应考虑发作后期的单侧强迫性运动行为，且不应与部分性癫痫持续状态相混淆，以避免不必要的治疗。可逆的磁共振成像（MRI）异常表现有助于诊断和治疗。
