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复杂部分性癫痫持续状态(精神运动性癫痫持续状态)

Complex partial status epilepticus (psychomotor status).

作者信息

Markand O N, Wheeler G L, Pollack S L

出版信息

Neurology. 1978 Feb;28(2):189-96. doi: 10.1212/wnl.28.2.189.

DOI:10.1212/wnl.28.2.189
PMID:564000
Abstract

A 20-year-old mentally retarded woman, who had a history of intractable epileptic seizures since early childhood, had prolonged episodes of confusion, decreased responsiveness and automatic behavior lasting as long as 2 days. These are believed to represent epileptic status of the complex partial (psychomotor) type because the electroencephalogram (EEG) recorded during two such periods showed continuous high amplitude, semirhythmic, 4 to 6 cycles per second (cps), spike activity over both frontotemporal regions; several interictal tracings revealed a consistent spike focus in the right anterior temporal area. Diazepam given intravenously during one such episode terminated both the abnormal behavior and the ictal discharges in the EEG.

摘要

一名20岁的智障女性,自幼患有顽固性癫痫发作史,出现了长达2天的意识模糊、反应迟钝和自动症的延长发作。这些发作被认为代表复杂部分性(精神运动性)癫痫持续状态,因为在两个这样的时期记录的脑电图(EEG)显示双侧额颞叶区域有持续的高振幅、半节律性、每秒4至6次循环(cps)的棘波活动;几次发作间期描记显示右前颞区有一致的棘波灶。在一次这样的发作期间静脉注射地西泮终止了异常行为和脑电图中的发作性放电。

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Complex partial status epilepticus (psychomotor status).复杂部分性癫痫持续状态(精神运动性癫痫持续状态)
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引用本文的文献

1
Diagnosis and Treatment of Status Epilepticus.癫痫持续状态的诊断与治疗
J Epilepsy Res. 2020 Dec 31;10(2):45-54. doi: 10.14581/jer.20008. eCollection 2020 Dec.
2
Prolonged complex partial status epilepticus: a case report.持续性复杂部分性癫痫持续状态:一例报告
J Neurol Neurosurg Psychiatry. 1988 Apr;51(4):586-8. doi: 10.1136/jnnp.51.4.586.