Takeda A
Department of Internal Medicine, Nagoya National Hospital, Japan.
Jpn J Psychiatry Neurol. 1988 Sep;42(3):525-30. doi: 10.1111/j.1440-1819.1988.tb01347.x.
Nonconvulsive status epilepticus may be subdivided into generalized (absence) status and complex partial status. The latter is generally considered as a rare condition, whereas the former is fairly common to have been reported in many articles. We have reported here a case of complex partial status epilepticus in which the seizure origin was thought to be located in the frontal but not temporal lobe. After looking over the relevant literatures we commented that the incidence of complex partial status of extratemporal origin does not seem to be as rare as it has been believed to be. The main reason for this is the frequency with which it is misdiagnosed. The diagnostic errors are due to a failure to recognize the epileptic cause of the attacks or to appreciate localizing the clinical seizure characteristics and misleading scalp EEG findings. By making a closer observation of clinical manifestations, the likelihood that a correct diagnosis can be made will be increased.
非惊厥性癫痫持续状态可细分为全身性（失神性）状态和复杂部分性状态。后者通常被认为是一种罕见病症，而前者在许多文章中都有相当普遍的报道。我们在此报告了一例复杂部分性癫痫持续状态病例，其发作起源被认为位于额叶而非颞叶。查阅相关文献后我们评论道，颞叶外起源的复杂部分性状态的发病率似乎并不像人们认为的那么罕见。主要原因是其误诊频率。诊断错误是由于未能认识到发作的癫痫病因，或未能理解临床发作特征的定位以及头皮脑电图结果的误导。通过更仔细地观察临床表现，做出正确诊断的可能性将会增加。
