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儿童癫痫发作时的情感症状(作者译)

[Affective symptoms during attacks of epilepsy in children (author's transl)].

作者信息

Dalla Bernardina B, Bureau M, Dravet C, Dulac O, Tassinari C A, Roger J

出版信息

Rev Electroencephalogr Neurophysiol Clin. 1980 Jan-Mar;10(1):8-18. doi: 10.1016/s0370-4475(80)80016-5.

Abstract

The authors present the results of an electroclinical study in 20 children (16 girls and 4 boys) having epileptic attacks with affective symptoms of a terrifying type. These were often interpreted (6/20) initially as nocturnal terrors or acute anxiety attacks. In 8 cases (40%) there was a previous family history of epilepsy. The age of onset was between 2 and 10 years. The attacks occurred several times during the 24 hours, both day and night, but were controlled rapidly and permanently (4 children over 15 years of age have had no further attacks 4 years after discontinuing treatment), and neurological and intellectual development was normal. This benign progression is correlated with a homogeneous critical and intercritical electroclinical picture enabling an early favorable prognosis to be made. The classification of this type of epilepsy, and its analogy with epilepsy with rolandic spikes is discussed.

摘要

作者介绍了一项针对20名儿童(16名女孩和4名男孩)的电临床研究结果,这些儿童患有伴有恐怖型情感症状的癫痫发作。这些发作最初常被解释为夜惊或急性焦虑发作(20例中有6例)。8例(40%)有癫痫家族史。发病年龄在2至10岁之间。发作在24小时内昼夜均有多次,但能迅速且永久得到控制(4名15岁以上儿童在停药4年后未再发作),神经和智力发育正常。这种良性病程与均匀一致的发作期和发作间期电临床特征相关,从而能够做出早期良好预后判断。本文还讨论了这种癫痫类型的分类及其与罗兰多棘波癫痫的相似之处。

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