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伴有发作期愉悦感的自我诱发光敏性失神发作

Self-induced photosensitive absence seizures with ictal pleasure.

作者信息

Faught E, Falgout J, Nidiffer D, Dreifuss F E

出版信息

Arch Neurol. 1986 Apr;43(4):408-10. doi: 10.1001/archneur.1986.00520040086028.

DOI:10.1001/archneur.1986.00520040086028
PMID:3082317
Abstract

A 32-year-old woman was treated for self-induced photosensitive seizures that included strong subjective feelings of pleasure and masturbatory behavior. Electroencephalograms demonstrated generalized polyphasic spike-wave discharges in response to stroboscopic stimulation. The behavioral sequences leading to seizures and the effects of treatment can be explained in terms of operant conditioning theory. Data from human and animal studies indicate a correlation between ictal pleasure or reinforcement and the subject's ability to induce seizures. Ictal pleasure is rare in spontaneous seizures that are not under the control of the patient.

摘要

一名32岁女性因自我诱发的光敏性癫痫发作接受治疗,发作时伴有强烈的主观愉悦感和自慰行为。脑电图显示,在频闪刺激下出现全身性多相棘波放电。导致癫痫发作的行为序列以及治疗效果可以用操作性条件反射理论来解释。来自人类和动物研究的数据表明,发作期的愉悦感或强化作用与受试者诱发癫痫发作的能力之间存在关联。在不受患者控制的自发性癫痫发作中,发作期的愉悦感很少见。

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