Brey R, Laxer K D
Epilepsia. 1985 Nov-Dec;26(6):657-60. doi: 10.1111/j.1528-1157.1985.tb05707.x.
Three complex partial seizure (CPS) types have been described based upon the behaviors seen at the onset of the ictal event. Type I CPSs are preceded by a motionless stare and have been correlated with a temporal focus, whereas Type II CPSs are not preceded by a motionless stare and have been correlated with an extratemporal focus. A third type of CPS, temporal lobe syncope, has been correlated with bilateral mesial temporal foci. We examined the utility of this CPS classification system in predicting surgical outcomes by reviewing our patients who had undergone surgical excision of their epileptogenic foci for the treatment of medically refractory CPSs. Forty-six consecutive patients were evaluated, with the seizure focus ultimately found to be temporal in 41 and frontal in 5. All 5 patients with frontal foci had Type II CPSs; of the 41 patients with temporal foci, 20 had Type I and 21 had the Type II CPSs. Twenty of 26 patients with Type II CPSs and 18 of 20 patients with Type I CPSs had a good or excellent outcome. Although our data suggest that patients with frontal foci have Type II CPSs, the reverse is not true. Furthermore, CPS type is not correlated with the surgical outcome, since there was no significant difference between the CPS type and the category of surgical outcome.
根据发作事件开始时观察到的行为，已描述了三种复杂部分性发作（CPS）类型。I型CPS发作前有静止凝视，且与颞叶病灶相关，而II型CPS发作前无静止凝视，且与颞叶外病灶相关。第三种CPS类型，即颞叶晕厥，与双侧内侧颞叶病灶相关。我们通过回顾因药物难治性CPS接受癫痫病灶手术切除的患者，研究了这种CPS分类系统在预测手术结果方面的实用性。对46例连续患者进行了评估，最终发现癫痫病灶位于颞叶的有41例，位于额叶的有5例。所有5例额叶病灶患者均为II型CPS；在41例颞叶病灶患者中，20例为I型，21例为II型CPS。26例II型CPS患者中有20例、20例I型CPS患者中有18例手术结果良好或极佳。虽然我们的数据表明额叶病灶患者为II型CPS，但反之则不成立。此外，CPS类型与手术结果无关，因为CPS类型与手术结果类别之间没有显著差异。
