Joyce Eimear, Doyle William, Quirke Evan, Munteanu Tudor, Delanty Norman
Department of Neurology, Beaumont Hospital, Dublin 9, Ireland.
Future Neuro, SFI Research Centre, Beaumont Hospital and Royal College of Surgeons in Ireland, Dublin 9, Ireland.
Epilepsy Behav Rep. 2023 Feb 8;21:100591. doi: 10.1016/j.ebr.2023.100591. eCollection 2023.
Reflex epilepsies are a unique and heterogeneous group of epilepsies characterized by recurrent seizure activity evoked by a specific external sensory stimulus or internal cognitive process. Reflex seizures can be part of other epilepsy syndromes including focal and generalized syndromes and have a growing spectrum of presentations. We report a further subtype of reflex seizures associated with towel exposure. We give an account of a case of drug-refractory focal epilepsy admitted to the Epilepsy Monitoring Unit for presurgical assessment with 50% of seizures triggered in response to the touch, feel, smell and thoughts around towels. We reviewed the literature regarding the broad phenotype of reflex epilepsies and seizures.
反射性癫痫是一组独特且异质性的癫痫，其特征是由特定的外部感觉刺激或内部认知过程诱发反复的癫痫发作活动。反射性癫痫发作可以是其他癫痫综合征的一部分，包括局灶性和全身性综合征，并且其表现形式的范围在不断扩大。我们报告了一种与接触毛巾相关的反射性癫痫发作的进一步亚型。我们讲述了一例难治性局灶性癫痫患者的病例，该患者因术前评估入住癫痫监测单元，50%的癫痫发作是由围绕毛巾的触摸、感觉、气味和想法引发的。我们回顾了关于反射性癫痫和癫痫发作广泛表型的文献。
