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一例音乐性癫痫病例。

A case of musicogenic epilepsy.

作者信息

Fujinawa A, Kawai I, Ohashi H, Kimura S

出版信息

Folia Psychiatr Neurol Jpn. 1977;31(3):463-72. doi: 10.1111/j.1440-1819.1977.tb02633.x.

Abstract
  1. A case of musicogenic epilepsy or psychomotor seizures supervening whenever the patient hears a certain tume has been presented. 2) The EEG features of the seizure are such as are often seen in psychomotor seizures. 3) Auditory evoked response may be left out of consideration. 4) There is no appreciable relationship between the disease and the life history of the patient. The attempt of our patient to cure herself by making use of conditioned reflex proved to be a failure. The patient is more liable to the disease when she is on the strain while hearing a tune. 5) Our consideration of the mechanism of the disease has led to the presumptive conclusion that hyperacusis, conditioned reflexes and the impact of life history may be involved, and the fragility of the memory function of the temporal lobe underlie the genesis of the disease.
摘要
  1. 已报告一例音乐性癫痫或精神运动性发作病例,每当患者听到某一特定曲调时就会发作。2) 该发作的脑电图特征与精神运动性发作中常见的特征相同。3) 可不考虑听觉诱发电位。4) 该疾病与患者的生活史之间没有明显关系。我们的患者试图通过条件反射来治愈自己,但证明是失败的。当患者在听到曲调时处于紧张状态时,更容易患上该疾病。5) 我们对该疾病机制的思考得出了一个推测性结论,即听觉过敏、条件反射和生活史的影响可能与之有关,而颞叶记忆功能的脆弱性是该疾病发生的基础。

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