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[托德麻痹的变体:发作后失用症和发作后长期偏侧忽视]

[Variants of Todd's paralysis: postictal apraxia and prolonged postictal hemineglect].

作者信息

Helmchen C, Steinhoff B J, Dichgans M

机构信息

Neurologische Klinik, Klinikum Grosshadern, Ludwig-Maximilians-Universität München.

出版信息

Nervenarzt. 1994 Oct;65(10):700-3.

PMID:7808569
Abstract

Todd's post-epileptic paralysis is a well-known complication after focal or generalized epileptic seizures. The underlying pathophysiology, however, is still unknown. Commonly, it is associated with a hemiparesis, usually lasting minutes or hours, rarely as long as two days, with subsequent complete remission. We report 2 patients with unusual and variant post-epileptic syndromes which have not been previously described in the literature: first, an ideomotor limb apraxia, and second, a severe hemineglect syndrome. Each syndrome lasted up to 70 hours after the seizure and was completely reversible.

摘要

托德氏癫痫后麻痹是局灶性或全身性癫痫发作后一种众所周知的并发症。然而,其潜在的病理生理学机制仍不清楚。通常,它与偏瘫有关,通常持续数分钟或数小时,很少长达两天,随后会完全缓解。我们报告了2例具有不寻常和变异型癫痫后综合征的患者,这些综合征在文献中此前未曾描述过:第一例是观念运动性肢体失用症,第二例是严重的偏侧空间忽视综合征。每种综合征在癫痫发作后持续长达70小时,且完全可逆。

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