Barreira A A, Lison M P, Speciali J G
Arq Neuropsiquiatr. 1982 Dec;40(4):327-38. doi: 10.1590/s0004-282x1982000400002.
Complex and mixed atypical absences and tonic epileptic seizures of 12 patients with the Lennox-Gastaut syndrome with onset after age 6 were studied. By complexes seizures we mean the associations of two elementary epileptics phenomena and by mixed that of three or more. Complex and mixed epileptic seizures already reported for patients with the early form of the syndrome were identified. The seizures reported, but not classified, in the literature were named by us as follows: gestural and mimic tonic-atonic automatic, tonic-gelastic, atypical absence with atonic cervical-cephalic seizures. New forms were described and classified. The following terminology was proposed for the convulsive seizures: procursive tonic-automatic, and procursive hemitonic-automatic. The non convulsive seizures--atypical absences--were described also in terms of critical EEG findings, and named as follows: automatic alimentary with palpebral myoclonic jerks; versive with palpebral myoclonic jerks; with palpebral myoclonic jerks and cervical and oculogyric atonic seizure; with intermittent cervical oculogyric atonic seizure and palpebral myoclonic jerks; with intermittent cervical atonic and oculogyric seizure; with palpebral myoclonic jerks and tonic seizure in cervical flexion. It was found that polymorphism of the complexes and mixed seizures is greatest for patients with the syndrome of early onset when compared with that with the syndrome of late onset.
对12例6岁后发病的Lennox-Gastaut综合征患者的复杂和混合性非典型失神发作及强直性癫痫发作进行了研究。我们所说的复杂发作是指两种基本癫痫现象的联合，混合发作是指三种或更多种基本癫痫现象的联合。已确定了该综合征早期形式患者中已报道的复杂和混合性癫痫发作。我们将文献中报道但未分类的发作命名如下：姿势性和模仿性强直性-无张力性自动症、强直性-痴笑性发作、伴有无张力性颈-头发作的非典型失神发作。描述并分类了新的发作形式。为惊厥性发作提出了以下术语：前冲性强直性-自动症和前冲性偏侧强直性-自动症。非惊厥性发作——非典型失神发作——也根据脑电图的关键发现进行了描述，并命名如下：伴有眼睑肌阵挛性抽搐的自动性进食发作；伴有眼睑肌阵挛性抽搐的扭转发作；伴有眼睑肌阵挛性抽搐及颈和眼球强直性发作；伴有间歇性颈眼强直性发作和眼睑肌阵挛性抽搐；伴有间歇性颈无张力性和眼球强直性发作；伴有眼睑肌阵挛性抽搐及颈前屈强直性发作。结果发现，与晚发型综合征患者相比，早发型综合征患者的复杂和混合性发作的多态性最大。
