Connolly M B, Langill L, Wong P K, Farrell K
Department of Pediatrics, University of British Columbia, Vancouver, Canada.
Epilepsia. 1995 Oct;36(10):1025-32. doi: 10.1111/j.1528-1157.1995.tb00962.x.
Most reports of supplementary sensorimotor seizures have been of adults with medically refractory epilepsy. Typically, supplementary sensorimotor seizures have onset in childhood. We describe the electroclinical features in 12 children. Cases were selected from an EEG laboratory population in whom video-EEG was performed routinely on all children. Supplementary sensorimotor seizures were diagnosed when there was bilateral tonic posturing of the upper or lower extremities, preserved consciousness, and lack of postictal confusion. Sensory auras were reported by 8 of 9 children aged > 3 years who had daytime seizures. Speech arrest occurred in all patients in whom it could be assessed, and abnormal vocalization was observed in 7 children. Interictal EEGs were often normal (49% of recordings), and ictal EEG changes could be subtle. An etiology was demonstrated in only 2 children, and brain imaging studies were normal in the other 10 patients. Seizures were controlled with antiepileptic drugs (AEDs) in 6 of the 12 children. The clinical manifestations of supplementary sensorimotor seizures in children are similar to those reported in adults; misdiagnosis is common at all ages.
大多数关于辅助性感觉运动性癫痫发作的报告都来自患有药物难治性癫痫的成年人。通常，辅助性感觉运动性癫痫发作始于儿童期。我们描述了12名儿童的电临床特征。病例选自一个脑电图实验室的人群，该实验室对所有儿童常规进行视频脑电图检查。当出现上肢或下肢双侧强直性姿势、意识保留且无发作后意识模糊时，诊断为辅助性感觉运动性癫痫发作。9名年龄大于3岁且有日间发作的儿童中有8名报告有感觉先兆。所有可评估的患者均出现言语停顿，7名儿童观察到异常发声。发作间期脑电图通常正常（49%的记录），发作期脑电图变化可能很细微。仅2名儿童发现病因，其他10名患者的脑成像研究正常。12名儿童中有6名使用抗癫痫药物（AEDs）控制了癫痫发作。儿童辅助性感觉运动性癫痫发作的临床表现与成人报告的相似；各年龄段均常见误诊。
