顽固性额叶癫痫的先兆：临床特征、价值和局限性。

Auras in intractable frontal lobe epilepsy: Clinical characteristics, values, and limitations.

机构信息

Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China; Department of Functional Neurology, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China.

出版信息

Epilepsy Behav. 2021 Feb;115:107724. doi: 10.1016/j.yebeh.2020.107724. Epub 2021 Jan 8.

DOI:10.1016/j.yebeh.2020.107724

PMID:33423014

Abstract

Auras are essential in preoperative evaluation and can provide valuable information for delineating seizure onset zones. Frontal lobe epilepsy (FLE) is the second most common focal epilepsy, while a few studies have focused on auras in FLE. To better understand FLE, we analyzed the clinical characteristics, values, and limitations of auras in FLE. The incidence rate of aura in FLE was 37.9% in our study. We included 54 patients and 76 auras in 11 categories were reported. The rate of auras in the decreasing order are as follows: autonomic aura; emotional aura; somatosensory aura; psychic aura; cephalic aura; abdominal aura; whole-body sensory aura, visual aura; auditory aura; and vestibular and unclassified aura. A significant number of aura types can be reported by FLE patients; autonomic aura was the most frequent category and somatosensory auras are most likely associated with the contralateral motor areas.

摘要

先兆是术前评估的重要组成部分，可为描绘癫痫发作起始区提供有价值的信息。额叶癫痫（FLE）是第二常见的局灶性癫痫，而少数研究集中在 FLE 的先兆上。为了更好地理解 FLE，我们分析了 FLE 中先兆的临床特征、价值和局限性。在我们的研究中，FLE 中先兆的发生率为 37.9%。我们纳入了 54 例患者，报告了 76 种 11 类先兆。先兆的发生率按降序排列如下：自主神经先兆；情绪先兆；体感先兆；精神先兆；头部先兆；腹部先兆；全身感觉先兆，视觉先兆；听觉先兆；前庭和未分类先兆。FLE 患者可报告多种类型的先兆；自主神经先兆是最常见的类别，体感先兆最可能与对侧运动区相关。