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[通过观察模式来诊断癫痫]

[Epilepsy by looking at patterns].

作者信息

Müller J

出版信息

Psychiatr Neurol Med Psychol (Leipz). 1977 Mar;29(3):176-82.

PMID:406619
Abstract

The author, after pointing out the rare occurence and peculiarities of pattern-sensitive forms of epilepsy, reports the case of a seven-year-old boy with infantile cerebral paresis characterized by symptomatic attacks, who was observed to show absence-like conditions when looking at small-checkered patterns of nylon fabric. Grasping and looking at such fabrics assumed the form of an addiction, with a sense of pleasure being believed to be derived therefrom. Although anticonvulsive therapy resulted in attacks of epilepsy being no longer detectable clinically and by electroencephalography, seizures were still triggered by looking at patterns. Also discussed in this article is the problem of transition from real to psychogenic attacks.

摘要

作者在指出癫痫的模式敏感型发作罕见且具有特殊性之后,报告了一名七岁男孩的病例,该男孩患有以症状性发作为特征的婴儿脑性瘫痪,观察发现他在看尼龙织物的小方格图案时会出现失神样状态。抓握和注视这类织物成了一种成瘾行为,据信从中能获得愉悦感。尽管抗惊厥治疗使癫痫发作在临床和脑电图检查中都不再可检测到,但注视图案仍会引发发作。本文还讨论了从真正的发作转变为心因性发作的问题。

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