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早期婴儿良性肌阵挛或良性非癫痫性婴儿痉挛症。

Benign myoclonus of early infancy or benign non-epileptic infantile spasms.

作者信息

Dravet C, Giraud N, Bureau M, Roger J, Gobbi G, Dalla Bernardina B

出版信息

Neuropediatrics. 1986 Feb;17(1):33-8. doi: 10.1055/s-2008-1052496.

DOI:10.1055/s-2008-1052496
PMID:3960282
Abstract

Lombroso and Fejerman (1983) described a syndrome which shares with West syndrome the clinical features of flexion spasm with onset in early infancy. However the syndrome differs from West syndrome in the absence of mental and psycho-motor involvement and having a normal EEG during wakefulness and sleep. We report four cases of these benign spasms of early infancy with polygraphic recording of the spasms providing the following information: the spasms are clinically similar to those often observed in West syndrome; namely they are characterized by a short (2-4 sec.) tonic contraction, there are no significant changes of the EEG concomitant to the spasm, series of spasms can occur not only during the daytime but also during sleep and immediately after awakening. Differential diagnosis is discussed with West syndrome and benign myoclonic epilepsy in infancy and with non-epileptic syndromes. The authors propose to name this syndrome: Benign Non-Epileptic Infantile Spasms.

摘要

龙勃罗梭和费耶曼(1983年)描述了一种综合征,它与韦斯特综合征有共同的临床特征,即婴儿早期出现的屈曲痉挛。然而,该综合征与韦斯特综合征的不同之处在于,不存在智力和精神运动方面的问题,且清醒和睡眠期间脑电图正常。我们报告了4例婴儿早期良性痉挛病例,并对痉挛进行了多导记录,提供了以下信息:这些痉挛在临床上与韦斯特综合征中常见的痉挛相似;也就是说,它们的特点是短暂(2 - 4秒)的强直性收缩,痉挛发作时脑电图无明显变化,一系列痉挛不仅可在白天发作,也可在睡眠期间及刚醒来后发作。文中讨论了与韦斯特综合征、婴儿良性肌阵挛癫痫以及非癫痫性综合征的鉴别诊断。作者建议将此综合征命名为:婴儿良性非癫痫性痉挛。

相似文献

1
Benign myoclonus of early infancy or benign non-epileptic infantile spasms.早期婴儿良性肌阵挛或良性非癫痫性婴儿痉挛症。
Neuropediatrics. 1986 Feb;17(1):33-8. doi: 10.1055/s-2008-1052496.
2
Benign myoclonus of early infancy.婴儿早期良性肌阵挛
Epileptic Disord. 1999 Mar;1(1):57-61.
3
Benign myoclonic epilepsy of infancy: electroclinical symptomatology and differential diagnosis from the other types of generalized epilepsy of infancy.婴儿良性肌阵挛癫痫:临床电生理症状及与其他类型婴儿全身性癫痫的鉴别诊断
Epilepsy Res Suppl. 1992;6:131-5.
4
Epileptic spasms in clusters without hypsarrhythmia in infancy.婴儿期无高峰节律紊乱的成串癫痫性痉挛。
Epileptic Disord. 2003 Jun;5(2):109-13.
5
Relation of spasms and myoclonus to suppression-burst on EEG in epileptic encephalopathy in early infancy.早期婴儿癫痫性脑病中痉挛和肌阵挛与脑电图上抑制-爆发的关系
Neuropediatrics. 2007 Oct;38(5):244-50. doi: 10.1055/s-2008-1062716.
6
[Benign myoclonus of early childhood].
An Esp Pediatr. 1984 Nov 30;21(8):725-31.
7
Tonic reflex seizures of early infancy: an age-related non-epileptic paroxysmal disorder.
Epileptic Disord. 2001 Sep;3(3):133-6.
8
[Early myoclonic encephalopathy. Delimitation of the syndrome in view of genetic counseling].
Pediatrie. 1991;46(4):323-7.
9
Benign spasms of infancy: a mimicker of infantile epileptic disorders.婴儿良性痉挛:婴儿癫痫障碍的一种类似病症。
Epileptic Disord. 2019 Dec 1;21(6):585-589. doi: 10.1684/epd.2019.1116.
10
[Treatment of West syndrome].[韦斯特综合征的治疗]
Acta Med Croatica. 2005;59(1):19-29.

引用本文的文献

1
Infantile spasms: review of the literature and personal experience.婴儿痉挛症:文献回顾与个人经验。
Ital J Pediatr. 2010 Feb 8;36:15. doi: 10.1186/1824-7288-36-15.
2
Infantile spasms: little seizures, BIG consequences.婴儿痉挛症:小发作,大后果。
Epilepsy Curr. 2006 May-Jun;6(3):63-9. doi: 10.1111/j.1535-7511.2006.00100.x.
3
Myoclonus and epilepsies.肌阵挛与癫痫
Indian J Pediatr. 1997 Sep-Oct;64(5):583-602. doi: 10.1007/BF02726110.
4
Problems of differentiation between epilepsy and non-epileptic paroxysmal events in the first year of life.1岁儿童癫痫与非癫痫性发作事件的鉴别问题
Arch Dis Child. 1995 Oct;73(4):342-4. doi: 10.1136/adc.73.4.342.