双侧独立周期性侧化癫痫样放电。临床意义。
Bilateral independent periodic lateralized epileptiform discharges. Clinical significance.
作者信息
de la Paz D, Brenner R P
出版信息
Arch Neurol. 1981 Nov;38(11):713-5. doi: 10.1001/archneur.1981.00510110073012.
Clinical data on 18 patients whose EEGs showed bilateral independent periodic lateralized epileptiform discharges (BIPLEDs) were reviewed and compared with those of 45 patients with periodic lateralized epileptiform discharges (PLEDs). A recent stroke was the most frequent cause of PLEDs (33%), while anoxic encephalopathy (28%) and CNS infection (28%) accounted for the majority of BIPLEDs. Focal neurologic deficits, focal seizures, and focal computed tomographic scan abnormalities were frequent in those with PLEDs, while coma predominated in the group with BIPLEDs (72% vs 24%). Mortality was also higher in patients with BIPLEDs--61% vs 29%.
回顾了18例脑电图显示双侧独立周期性侧化癫痫样放电（BIPLEDs）患者的临床数据，并与45例周期性侧化癫痫样放电（PLEDs）患者的数据进行了比较。近期中风是PLEDs最常见的病因（33%），而缺氧性脑病（28%）和中枢神经系统感染（28%）是BIPLEDs的主要病因。PLEDs患者常有局灶性神经功能缺损、局灶性癫痫发作和局灶性计算机断层扫描异常，而BIPLEDs组以昏迷为主（72%对24%）。BIPLEDs患者的死亡率也更高——61%对29%。
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