Rajna P, Kundra O, Halász P
Epilepsia. 1983 Dec;24(6):725-33. doi: 10.1111/j.1528-1157.1983.tb04635.x.
A case with vigilance level-dependent, nightly occurring, generalized, axial, tonic motor seizures without any ictal or interictal scalp electroencephalographic expression is presented. A pathological sleep pattern with many arousals, superficial sleep, and an interrelation between the seizures and the arousal episodes was demonstrated. An epileptic excitation discharge during the seizures was verified on the right cingular cortex by stereoencephalography. The physiopathogenesis and differential diagnostic problems in the interpretation of such cases as a sleep disorder or an epileptic mechanism are discussed.
本文报告一例警觉水平依赖、夜间发作、全身性、轴性、强直性运动性癫痫发作的病例，发作期及发作间期头皮脑电图均无异常表现。研究显示存在一种伴有多次觉醒、浅睡眠的病理性睡眠模式，且癫痫发作与觉醒发作之间存在关联。通过立体脑电图证实癫痫发作期间右侧扣带回皮质存在癫痫性放电。本文还讨论了将此类病例解释为睡眠障碍或癫痫机制时的病理生理机制及鉴别诊断问题。
