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儿童和青少年的假性癫痫发作

Pseudoepileptic seizures in children and adolescents.

作者信息

Finlayson R E, Lucas A R

出版信息

Mayo Clin Proc. 1979 Feb;54(2):83-7.

PMID:762998
Abstract

Eighteen patients ranging in age from 4 to 20 years who were seen at the Mayo Clinic from 1970 through 1976 for suspected epilepsy were studied. Seventeen of these patients had previously been treated with anticonvulsant medication, and the majority had been subjected to multiple diagnostic procedures. After careful analysis of their histories, clinical examinations, and appropriate laboratory studies, their seizures appeared to be nonepileptic in nature. Various psychogenic and other nonorganic causes were identified. These cases are presented to alert the physician to the not infrequent occurrence of pseudoepileptic seizures in children and adolescents who do not have epilepsy.

摘要

对1970年至1976年间在梅奥诊所就诊的18名年龄在4岁至20岁之间、疑似患有癫痫的患者进行了研究。这些患者中有17名此前曾接受过抗惊厥药物治疗,且大多数都接受过多种诊断程序。在对他们的病史、临床检查和适当的实验室研究进行仔细分析后,发现他们的癫痫发作本质上并非癫痫性的。确定了各种心理因素和其他非器质性原因。呈现这些病例是为了提醒医生,在没有癫痫的儿童和青少年中,假性癫痫发作并非罕见。

相似文献

1
Pseudoepileptic seizures in children and adolescents.儿童和青少年的假性癫痫发作
Mayo Clin Proc. 1979 Feb;54(2):83-7.
2
[Psychological profile of patients with psychogenic pseudoepileptic seizures].[心因性假性癫痫发作患者的心理特征]
Neurol Neurochir Pol. 2000 Nov-Dec;34(6):1155-63.
3
Risk factors for psychogenic nonepileptic seizures in children and adolescents with epilepsy.癫痫患儿及青少年心因性非癫痫性发作的危险因素。
Epilepsy Behav. 2006 Feb;8(1):294-8. doi: 10.1016/j.yebeh.2005.08.014. Epub 2005 Oct 25.
4
Patients with coexistent psychogenic pseudoepileptic and epileptic seizures: a psychological profile.并存心因性假性癫痫发作和癫痫发作的患者:一项心理剖析
Seizure. 2001 Dec;10(8):566-9. doi: 10.1053/seiz.2001.0556.
5
[Placebo test in the diagnostics of pseudoepileptic seizures in children and adolescents].[儿童和青少年假性癫痫发作诊断中的安慰剂测试]
Przegl Lek. 2004;61(11):1244-52.
6
Psychogenic pseudoepileptic seizures: clinical and electroencephalogram (EEG) video-tape recordings.心因性假性癫痫发作:临床及脑电图(EEG)录像记录
Eur J Neurol. 1999 Jul;6(4):473-9. doi: 10.1046/j.1468-1331.1999.640473.x.
7
Differential diagnosis of epilepsy.癫痫的鉴别诊断。
Electroencephalogr Clin Neurophysiol Suppl. 1985;37:285-311.
8
Anxiety as a differential factor in epileptic versus psychogenic pseudoepileptic seizures.焦虑作为癫痫性发作与心因性假性癫痫发作的鉴别因素。
Epilepsy Res. 2003 Jan;52(3):227-32. doi: 10.1016/s0920-1211(02)00212-7.
9
[Etiologic and diagnostic factors of psychogenic pseudo-epileptic seizures].[心因性假性癫痫发作的病因及诊断因素]
Neurol Neurochir Pol. 2000 Nov-Dec;34(6):1197-208.
10
[Pseudoepileptic seizures in children].[儿童假性癫痫发作]
Ugeskr Laeger. 1991 Mar 25;153(13):935-9.

引用本文的文献

1
Psychological problems and clinical outcomes of children with psychogenic non-epileptic seizures.心因性非癫痫性发作儿童的心理问题及临床结局
Yonsei Med J. 2014 Nov;55(6):1556-61. doi: 10.3349/ymj.2014.55.6.1556.
2
A review of diagnostic techniques in the differential diagnosis of epileptic and nonepileptic seizures.癫痫性发作与非癫痫性发作鉴别诊断中的诊断技术综述。
Neuropsychol Rev. 2002 Mar;12(1):31-64. doi: 10.1023/a:1015491123070.
3
Psychogenic non-epileptic seizures: management and prognosis.心因性非癫痫性发作:管理与预后
Arch Dis Child. 2000 Jun;82(6):474-8. doi: 10.1136/adc.82.6.474.
4
The pediatric non-epileptic seizure.小儿非癫痫性发作
Indian J Pediatr. 1997 Sep-Oct;64(5):671-6. doi: 10.1007/BF02726123.
5
Repetitive pseudoseizures incorrectly managed as status epilepticus.反复假性发作被错误地当作癫痫持续状态处理。
CMAJ. 1986 May 1;134(9):1029-31.
6
"It isn't epilepsy is it, doctor?".“这不是癫痫,对吧,医生?”
BMJ. 1990 Jun 23;300(6740):1604-6. doi: 10.1136/bmj.300.6740.1604.
7
Doubtful epilepsy in childhood.儿童期可疑癫痫
Br Med J. 1979 Jul 7;2(6181):1-2.