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[音乐源性癫痫的研究现状:科学文献综述]

[State of the art in musicogenic epilepsy: a review of the scientific literature].

作者信息

Garcia-Casares N, Garcia-Arnes J A, Gallego-Bazan Y

机构信息

Centro de Investigaciones Medico Sanitarias (CIMES). Universidad de Malaga, Malaga, Espana.

Facultad de Medicina. Universidad de Malaga, Malaga, Espana.

出版信息

Rev Neurol. 2019 Oct 1;69(7):293-300. doi: 10.33588/rn.6907.2019229.

Abstract

INTRODUCTION

Musicogenic epilepsy is a type of reflex complex epilepsy and is evoked by musical stimulus, specially music with high emotional content to the patient.

AIM

To review the state of the art of the musicogenic epilepsy in the current literature.

DEVELOPMENT

We have made an analysis of all the patients that have been described with musicogenic epilepsy. Among the most studied variables we have included: the nature of the sound that evoke the seizure, the musical education of the patients, the changes between the different neurophysiological and neuroimaging techniques, the most frequent location and the hemispheric side implication in seizures, and comparison between the different neuroimaging techniques. Most of the patients had seizures when they were listening to music with emotional content. The right temporal lobe is the most affected area in this type of epilepsy. In these studies the structural neuroimaging were normal in most of the patients.

CONCLUSIONS

Musicogenic epilepsy is reflex and complex and music with emotional content to the patients is the most frequent stimulus that evoke this type of epilepsy. The right temporal lobe is the most affected area. It seems that exists a correlation between emotional and auditory cerebral processing networks.

摘要

引言

音乐性癫痫是反射性复杂性癫痫的一种类型,由音乐刺激诱发,特别是对患者具有高情感内容的音乐。

目的

回顾当前文献中音乐性癫痫的研究现状。

进展

我们对所有已描述的音乐性癫痫患者进行了分析。在研究最多的变量中,我们纳入了:诱发发作的声音性质、患者的音乐教育程度、不同神经生理学和神经影像学技术之间的变化、发作时最常见的部位和半球侧别影响,以及不同神经影像学技术之间的比较。大多数患者在听具有情感内容的音乐时发作。右侧颞叶是这类癫痫中受影响最严重的区域。在这些研究中,大多数患者的结构神经影像学检查结果正常。

结论

音乐性癫痫是反射性且复杂的,对患者具有情感内容的音乐是诱发这类癫痫最常见的刺激因素。右侧颞叶是受影响最严重的区域。情感和听觉脑处理网络之间似乎存在相关性。

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