一例显示周期性一侧性癫痫样放电的脑梗死病例。

A case of cerebral infarction showing periodic lateralized epileptiform discharges.

作者信息

Nonaka K, Kojima H, Ohkawa T, Inanaga K

出版信息

Folia Psychiatr Neurol Jpn. 1985;39(1):79-83. doi: 10.1111/j.1440-1819.1985.tb01946.x.

DOI:10.1111/j.1440-1819.1985.tb01946.x

Abstract

This is a report about the case of a 37-year-old female with left temporal damage due to a cerebral infarction and showing periodic lateralized epileptiform discharges (PLEDs). A hypsarhythmia-like pattern was observed a week after the onset. A repeat tracing of EEGs taken two weeks after the onset clarified the presence of PLEDs, consisting of a lateralized slow spike discharge in a rhythmic fashion at a frequency of every 1.6 seconds. PLEDs disappeared two months after the onset, and EEG activity normalized three months after the onset. But, her regressive behavior, crying before her doctor, which was considered to be due to a personality change, persisted for some years.

摘要

这是一份关于一名37岁女性的病例报告，该女性因脑梗死导致左侧颞叶损伤，并出现周期性一侧性癫痫样放电（PLEDs）。发病一周后观察到类似高度节律失调的模式。发病两周后重复进行脑电图描记，明确了PLEDs的存在，表现为以每秒1.6次的频率有节律地出现一侧性慢棘波放电。PLEDs在发病两个月后消失，脑电图活动在发病三个月后恢复正常。但是，她的退行性行为，即在医生面前哭泣，被认为是人格改变所致，持续了数年。