Rey M, Papy J J
Service d'exploration fonctionnelle du système nerveux, Hôpital Nord, Marseille, France.
Rev Electroencephalogr Neurophysiol Clin. 1987 Dec;17(4):377-85. doi: 10.1016/s0370-4475(87)80084-9.
The authors discuss the case of four patients aged over 75 years who presented non-convulsive, but confusional status epilepticus. The EEG recordings during clinical status showed bilateral spikes of slow wave discharges in the frontal region. Following slow intravenous infusion of 10 mg of diazepam, EEG and clinical status returned quickly to normal. CT scans were always unremarkable. The ictal confusion in later life seems to be an entity, actually frequently reported in literature, which needs better description.
作者讨论了4例75岁以上患者的病例，这些患者表现为非惊厥性但伴有意识模糊的癫痫持续状态。临床发作期的脑电图记录显示额叶区域有双侧尖波慢波放电。缓慢静脉注射10毫克地西泮后，脑电图和临床状态迅速恢复正常。CT扫描结果始终无异常。晚年发作性意识模糊似乎是一种实际在文献中经常报道的病症，需要更好地描述。
