Kajikawa Shunsuke, Kobayashi Katsuya, Usami Kiyohide, Matsumoto Riki, Ikeda Akio, Takahashi Ryosuke
Department of Neurology, Kyoto University Graduate School of Medicine.
Department of Neurology, Otsu Red Cross Hospital.
Rinsho Shinkeigaku. 2018 Aug 31;58(8):513-516. doi: 10.5692/clinicalneurol.cn-001149. Epub 2018 Jul 31.
Promnesia is a feeling of familiarity and foreknowledge and is a manifestation of simple partial seizures (focal aware seizures). It is similar to déjà vu and has been reported to be a rare symptom in patients with temporal lobe epilepsy. Here, we investigated the clinical characteristics in 4 patients with partial epilepsy presenting promnesia. Three out of 4 patients showed abnormal electroencephalography (EEG) and/or MRI findings in the temporal lobe. Furthermore, in 2 patients, promnesia was the only aura. It is important to actively obtain medical history of patients about promnesia because this is useful for identifying the epileptic focus. Further cases need to be analyzed to evaluate the sensitivity and specificity of promnesia for diagnosis and therapy of partial epilepsy.
似曾相识感是一种熟悉和预知的感觉，是单纯部分性发作（局灶性意识性发作）的一种表现。它与 déjà vu 相似，据报道是颞叶癫痫患者中一种罕见的症状。在此，我们调查了 4 例出现似曾相识感的部分性癫痫患者的临床特征。4 例患者中有 3 例在颞叶显示出异常脑电图（EEG）和/或 MRI 结果。此外，在 2 例患者中，似曾相识感是唯一的先兆。积极获取患者关于似曾相识感的病史很重要，因为这有助于确定癫痫病灶。需要分析更多病例以评估似曾相识感对部分性癫痫诊断和治疗的敏感性和特异性。
