[儿童颞叶癫痫的病程特点]

[Features of the course of temporal-lobe epilepsy in children].

作者信息

Kalinina L V, Badalian L O, Efremova O V, Nemsadze D Z

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1985;85(10):1490-4.

Abstract

Forty-nine patients (aged 7-15 years) with temporal epilepsy were examined using clinical and electrophysiological methods; 27 children were also subjected to psychological examination and 14 of them to computerized tomography of the brain. Characteristics of temporal paroxysms and correlation between the course of epilepsy and its duration and progression are described in detail. It was shown that neuroinfections, craniocerebral traumas, perinatal pathology of the nervous system and genetic predisposition play a certain role in the genesis of temporal epilepsy. Psychological examination of patients with temporal epilepsy revealed various disorders of neuropsychic processes in 27 children. In 5 cases computer-aided tomography of the brain revealed various changes including petrifacates, cysts, foci of gliosis with partial brain atrophy and deformation of the lateral ventricles.

摘要

对49例（年龄7 - 15岁）颞叶癫痫患者采用临床和电生理方法进行检查；27名儿童还接受了心理检查，其中14名进行了脑部计算机断层扫描。详细描述了颞叶发作的特征以及癫痫病程与其持续时间和进展之间的相关性。结果表明，神经感染、颅脑外伤、神经系统围产期病变和遗传易感性在颞叶癫痫的发病机制中起一定作用。对颞叶癫痫患者的心理检查发现，27名儿童存在各种神经心理过程障碍。5例脑部计算机断层扫描显示出各种变化，包括石化、囊肿、胶质增生灶伴部分脑萎缩和侧脑室变形。