Lim J, Yagnik P, Schraeder P, Wheeler S
J Neurol Neurosurg Psychiatry. 1986 Jul;49(7):833-6. doi: 10.1136/jnnp.49.7.833.
Three patients with EEG documented ictal catatonia, a nonconvulsive status epilepticus, who responded dramatically to intravenous phenytoin are described. The EEG showed continuous bilateral pseudoperiodic sharp waves and spike discharges in one patient, spike and wave complexes were seen prominently in the right fronto-central region in another, and the EEG of the third patient showed periodic lateralising epileptiform discharges during the catatonic state. We postulate that such catatonia was due to involvement of the limbic system by seizure activity.
本文描述了3例脑电图记录显示为发作性紧张症(一种非惊厥性癫痫持续状态)的患者,他们对静脉注射苯妥英钠反应显著。1例患者脑电图显示双侧持续性假性周期性尖波和棘波放电,另1例患者右侧额中央区可见明显的棘慢复合波,第3例患者在紧张症状态下脑电图显示周期性局灶性癫痫样放电。我们推测这种紧张症是由于癫痫活动累及边缘系统所致。