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[婴幼儿的精神运动性癫痫发作]

[Psychomotor seizures in infants and young children].

作者信息

Karbowski K, Vassella F, Pavlincova E, Nielsen J

机构信息

Neruologische Klinik und Kinderklinik der Universität Bern.

出版信息

EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1988 Mar;19(1):30-4.

PMID:3131107
Abstract

off authors analyzed the ictal clinical symptoms (in 6 cases with videotape monitoring) of 12 infants and young children, who had focal epileptic discharges in the temporal regions (fig. 3, 4, 5). The average age was 1 9/12 years with a range of 3 months to 5 years. In 6 cases the seizures were typical "psychomotor" with oral automatisms, aimless movements of the upper extremities and/or tonic versive motor manifestations (fig. 2). In 5 cases the seizures consisted of staring and arrest of any movement. In another case, automatisms of the upper extremities were accompanied by a psychomotor arrest reaction. It is probable that in this age group seizures with sudden arrest of activity ("temporal pseudoabsences") are more frequently the main expression of partial complex seizures than in older children and in adults.

摘要

作者分析了12例婴幼儿的发作期临床症状(6例有录像监测),这些婴幼儿颞区有局灶性癫痫放电(图3、4、5)。平均年龄为1岁9个月,范围为3个月至5岁。6例发作表现为典型的“精神运动性”发作,伴有口部自动症、上肢无目的运动和/或强直性旋转运动表现(图2)。5例发作表现为凝视和所有运动停止。在另一例中,上肢自动症伴有精神运动性停止反应。在这个年龄组中,活动突然停止的发作(“颞叶假性失神”)很可能比大龄儿童和成人更频繁地成为部分性复杂发作的主要表现形式。

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