Lorizio A, Franciosi A
Riv Patol Nerv Ment. 1981 Nov-Dec;102(6):269-83.
The authors describe two cases of "reading epilepsy" followed for nine and seven years respectively. In the first case the seizures consisted in an alexic aura followed by secondary tonic clonic convulsion; in the second case the seizures consisted in jaw clenching followed by loss of consciousness. In both patients neuroradiological studies including C.T. were negative and in both the seizures were controlled by anti-epileptic treatment. Clinical and electro encephalographic features tended to differ in the two cases and the authors review the literature on the subject. These observations led to recognise three groups of reflex epilepsy as follows: the first group includes focal secondary generalised seizures with parieto-occipital spikes and spikes and waves in parieto-occipital lobes; the second group includes seizures starting with jaw clenching corresponding with bursts of posterior sharp-waves; the third group consists of endogenous cases which can not be included in the other two groups.
作者描述了两例分别随访9年和7年的“阅读性癫痫”病例。第一例发作表现为失读先兆，随后继发强直阵挛性惊厥；第二例发作表现为牙关紧闭，随后意识丧失。两名患者的神经放射学检查（包括CT）均为阴性，且两人的发作均通过抗癫痫治疗得到控制。两例患者的临床和脑电图特征有所不同，作者回顾了关于该主题的文献。这些观察结果导致识别出以下三组反射性癫痫：第一组包括伴有顶枕叶棘波以及顶枕叶尖波和慢波的局灶性继发全身性发作；第二组包括始于牙关紧闭且与后头部锐波爆发相对应的发作；第三组由无法归入其他两组的原发性病例组成。
