Jacome D E, Suarez M
Department of Medicine, Palmetto General Hospital, Hialeah Hospital, Florida.
Clin Electroencephalogr. 1988 Oct;19(4):214-8. doi: 10.1177/155005948801900408.
It has been recently established that ictus emeticus originates from mesial temporal lobe structures. We herein report a patient with generalized epilepsy who exhibited ictus emeticus reflexly triggered by intermittent photic stimulation accompanied by generalized photoparoxysmal responses on the electroencephalogram. All seizures and EEG abnormalities ceased after treatment with valproic acid. The occurrence of ictus emeticus in generalized epilepsy is an apparent paradox, better explained by the theory of "secondary temporalization" implying the selective engagement of temporal lobe structures during generalized seizures.
最近已经确定，呕吐发作源自内侧颞叶结构。我们在此报告一名全身性癫痫患者，其呕吐发作是由间歇性光刺激反射性诱发的，脑电图上伴有全身性光阵发性反应。在用丙戊酸治疗后，所有癫痫发作和脑电图异常均停止。全身性癫痫中呕吐发作的出现显然是自相矛盾的，用“继发性颞叶化”理论能更好地解释，该理论意味着在全身性癫痫发作期间颞叶结构的选择性参与。
