Aguglia U, Tinuper P, Farnarier G
Rev Electroencephalogr Neurophysiol Clin. 1983 Nov;13(2):174-9. doi: 10.1016/s0370-4475(83)80077-x.
The authors discuss the case of a man who, at the age of 63, presented episodes of prolonged confusional state de novo. The EEG recordings showed the existence of an electrical status with widespread spikes and polyspike-and-waves of the "absence status." Further recordings showed a focal onset of one of the episodes of prolonged confusional state. The electric and clinical characteristics of this observation indicate that a frontal localisation with secondary generalization of the discharge is probable. This electro-clinical picture is compared to other literature on the subject and its nosological specificity is discussed.
作者讨论了一名63岁男性的病例,该患者首次出现了长时间的意识模糊状态。脑电图记录显示存在一种电状态,伴有广泛的尖波以及“失神状态”的多棘慢波。进一步的记录显示,长时间意识模糊状态的其中一次发作有局灶性起始。该观察结果的电生理和临床特征表明,放电可能起源于额叶并继发泛化。将这种电临床图像与该主题的其他文献进行了比较,并讨论了其疾病分类学特异性。