Ramos F M, Albert P, Ponce de Leon A, Yagüe L
Neurosurgery. 1983 Dec;13(6):646-9. doi: 10.1227/00006123-198312000-00004.
The authors report five patients who had either generalized or focal seizures in association with occlusion of the internal carotid artery. Two of them developed a motor deficit after having had several seizures. The other three did not develop a fixed neurological deficit, but their seizures had continued in spite of anticonvulsant treatment. After an extracranial to intracranial (EC-IC) bypass, the seizures either stopped or became less frequent. Based on our experience with these patients and our review of the literature, we think that seizures may be the initial or at least an early manifestation of cerebrovascular insufficiency in some patients. An EC-IC bypass may be of help when angiographic evidence of cerebrovascular occlusive disease is found.
作者报告了5例伴有颈内动脉闭塞的全身性或局灶性癫痫患者。其中2例在多次癫痫发作后出现运动功能缺损。另外3例未出现固定的神经功能缺损，但尽管接受了抗惊厥治疗，癫痫仍持续发作。在进行颅外-颅内（EC-IC）搭桥手术后，癫痫发作停止或发作频率降低。基于我们对这些患者的经验以及对文献的回顾，我们认为癫痫可能是某些患者脑血管供血不足的初始表现或至少是早期表现。当发现脑血管闭塞性疾病的血管造影证据时，EC-IC搭桥手术可能会有所帮助。
