Olivier A, Gloor P, Andermann F, Ives J
Ann Neurol. 1982 Apr;11(4):428-32. doi: 10.1002/ana.410110419.
A young woman had seizures suggestive of temporal lobe origin with some clinical features indicative of occipital onset. Electroencephalograms recorded through scalp and sphenoidal electrodes showed predominantly right posterior temporooccipital epileptogenic discharges. Stereotaxic depth electrode recordings from the right temporal and occipital lobes demonstrated that some seizures arose independently from either the temporal or occipital lobes. Most arose within the occipital lobe, but, to become clinically evident, the seizure discharge had to spread to the temporal lobe. Following temporal lobe resection, including excision of limbic structures, the patient has remained seizure free for four years except for a few generalized seizures before and after delivery of her child.
一名年轻女性出现提示颞叶起源的癫痫发作，伴有一些提示枕叶起始的临床特征。通过头皮和蝶骨电极记录的脑电图显示，主要为右侧后颞枕叶癫痫源性放电。右侧颞叶和枕叶的立体定向深部电极记录表明，一些癫痫发作独立起源于颞叶或枕叶。大多数发作起源于枕叶，但要在临床上显现出来，癫痫放电必须扩散到颞叶。在进行颞叶切除，包括切除边缘结构后，该患者除在分娩前后出现几次全身性发作外，已四年无癫痫发作。
