Remick R A, Wada J A
Am J Psychiatry. 1979 Mar;136(3):320-3. doi: 10.1176/ajp.136.3.320.
The differentiation of ictal and nonictal seizure disorders is difficult, particularly in patients suffering from partial seizures with complex symptomatology. The authors state that observation of a patient's habitual seizure during EEG recording is the ideal diagnostic tool and describe their method of seizure activation with sphenoidal electrodes and simultaneous audiovisual monitoring. They emphasize the necessity for early, aggressive treatment of both ictal and nonictal seizure disorders, point out risks to the patient if the incorrect diagnosis is made, and urge further cooperation between psychiatrists and neurologists in this borderland area.
鉴别发作期和非发作期癫痫障碍很困难，尤其是对于那些患有具有复杂症状的部分性癫痫的患者。作者指出，在脑电图记录期间观察患者的习惯性发作是理想的诊断工具，并描述了他们使用蝶骨电极和同步视听监测来激活癫痫发作的方法。他们强调对发作期和非发作期癫痫障碍进行早期积极治疗的必要性，指出如果诊断错误对患者的风险，并敦促精神科医生和神经科医生在这个边缘领域进一步合作。
