Carmant L, Kramer U, Mikati M A, Riviello J J, Helmers S L, Holmes G L
Department of Neurology, Children's Hospital, Harvard Medical School, USA.
Seizure. 1995 Jun;4(2):147-9. doi: 10.1016/s1059-1311(95)80096-4.
We report two patients with epilepsy with pseudoseizures at age 6 years. Both presented with intractable staring spells. Pseudoseizures were provoked and aborted by suggestion, leading to the diagnosis. In both patients, evidence of a neuropsychological disturbance was later found and psychotherapy started. Monitoring of intractable staring episodes is recommended prior to escalating antiepileptic drug levels or resorting to polytherapy. In addition, differentiation from other non-epileptic phenomena is necessary to initiate proper therapy.
我们报告了两名6岁患有癫痫伴假性发作的患者。两人均表现为顽固性凝视发作。通过暗示诱发并终止假性发作，从而得出诊断。在这两名患者中，后来均发现了神经心理障碍的证据并开始了心理治疗。在提高抗癫痫药物剂量或采用联合治疗之前，建议对顽固性凝视发作进行监测。此外，为了开始适当的治疗，有必要与其他非癫痫现象进行鉴别。
