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[睡眠期发作性疾病作为儿童癫痫的首发表现]

[Paroxysmal disorders during sleep as the debut of epilepsy in children].

作者信息

Boldyrev A I

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1985;85(6):867-71.

PMID:4024810
Abstract

The authors examined 100 children aged 3 to 14 years with paroxysmal disturbances during sleep, which were the first manifestations of epilepsy. On the basis of a long-term follow up these disturbances were differentiated clinically from similar disorders of non-epileptic nature. The most typical epileptic disturbances occurring during sleep (psychomotor paroxysms, crying, laughter, night fears, nightmarish dreams, psychosensory disorders) had some characteristics in common, namely changes in consciousness, appearance almost at the same time, stereotyry of the manifestations, attendant autonomic disorders, nocturnal enuresis followed by the development of the typical epileptic forms of attacks. The treatment of paroxysmal disturbances was conducted with regard to their clinical structure and the localization of the epileptic focus.

摘要

作者对100名3至14岁睡眠中出现阵发性紊乱的儿童进行了检查,这些紊乱是癫痫的首发表现。基于长期随访,这些紊乱在临床上与非癫痫性质的类似疾病得以区分。睡眠中出现的最典型的癫痫性紊乱(精神运动性发作、哭闹、大笑、夜惊、噩梦、心理感觉障碍)有一些共同特征,即意识改变、几乎同时出现、表现刻板、伴有自主神经紊乱、夜间遗尿,随后发展为典型的癫痫发作形式。阵发性紊乱的治疗是根据其临床结构和癫痫病灶的定位来进行的。

相似文献

1
[Paroxysmal disorders during sleep as the debut of epilepsy in children].[睡眠期发作性疾病作为儿童癫痫的首发表现]
Zh Nevropatol Psikhiatr Im S S Korsakova. 1985;85(6):867-71.
2
[Initial paroxysmal manifestations of epilepsy in children].[儿童癫痫的初始发作表现]
Zh Nevropatol Psikhiatr Im S S Korsakova. 1987;87(6):828-32.
3
[Epilepsy and sleep disorders].
MMW Fortschr Med. 2005 May 17;147 Spec No 2:54-7.
4
[Nocturnal fears in children and their relation to epilepsy].[儿童夜间恐惧及其与癫痫的关系]
Zh Nevropatol Psikhiatr Im S S Korsakova. 1991;91(12):25-7.
5
[Paroxysmal disorders and episodic non-epileptic symptoms].[发作性疾病与发作性非癫痫性症状]
Rev Neurol. 1999;28(1):73-6.
6
A case of parasomnia at REM sleep onset.一例快速眼动睡眠起始期的异态睡眠病例。
J Clin Psychiatry. 1987 Oct;48(10):414-5.
7
Movement disorders in sleep: guidelines for differentiating epileptic from non-epileptic motor phenomena arising from sleep.睡眠中的运动障碍:区分睡眠中出现的癫痫性与非癫痫性运动现象的指南。
Sleep Med Rev. 2007 Aug;11(4):255-67. doi: 10.1016/j.smrv.2007.01.001. Epub 2007 Mar 26.
8
[Dynamics of epilepsy in the early stages: clinical picture, diagnosis, treatment, prognosis].[癫痫早期的动态变化:临床表现、诊断、治疗与预后]
Zh Nevropatol Psikhiatr Im S S Korsakova. 1983;83(6):839-44.
9
[Language and learning disorders in epilepsy with continuous spike-waves during slow sleep].[慢波睡眠期持续棘慢波癫痫中的语言与学习障碍]
Epileptic Disord. 2001;3 Spec No 2:SI77-85.
10
[Non-epileptic paroxysmal neurologic disorders in children].[儿童非癫痫性发作性神经系统疾病]
Rev Med Suisse Romande. 1978 Apr;98(4):167-75.

引用本文的文献

1
Neurotic states in children whose parents suffer from epilepsy.父母患有癫痫的儿童的神经症状态。
Neurosci Behav Physiol. 1987 May-Jun;17(3):259-61. doi: 10.1007/BF01191260.