Vanags Jonas, Sachdev Monisha, Grant Gerald, Mikati Mohamad A
Department of Neurology, Duke University Medical Center, 311 Research Drive, Durham, NC 27710, USA.
Division of Pediatric Neurology, Department of Pediatrics, Duke University Medical Center, T0913 Children's Health Center, DUMC Box 3936, 2301 Erwin Rd, Durham, NC 27710, USA.
Epilepsy Behav Case Rep. 2017 Oct 2;9:51-53. doi: 10.1016/j.ebcr.2017.09.005. eCollection 2018.
Two patients at our center experienced florid visual hallucinations following hemispherectomy. The first patient had drug-resistant left hemispheric focal seizures at 20 months of age from a previous stroke. Following functional hemispherectomy at age 3, he experienced frightening hallucinations 1 month post-operatively lasting 3.5 months. Our second patient underwent subtotal hemispherectomy at age 6 for drug-resistant focal seizures from right hemispheric cortical dysplasia. Eighteen months later he developed scary visual hallucinations during which he would shout and throw things. Hallucinations recurred for 6 months. In our experience in these patients, even though symptoms were florid, they were transient and subsided 3-6 months later.
我们中心有两名患者在接受大脑半球切除术后出现了明显的视幻觉。第一名患者在20个月大时因先前的中风而患有耐药性左半球局灶性癫痫。3岁时接受功能性大脑半球切除术后，他在术后1个月出现了可怕的幻觉，持续了3.5个月。我们的第二名患者在6岁时因右半球皮质发育异常导致的耐药性局灶性癫痫接受了次全大脑半球切除术。18个月后，他出现了可怕的视幻觉，期间会大喊大叫并扔东西。幻觉反复出现了6个月。根据我们对这些患者的经验，尽管症状明显，但它们是短暂的，3至6个月后就会消退。
