Niedzielska K, Laskowska-Studniarska W, Kuran W
Zakładu EEG/EMG, Instytutu Psychiatrii i Neurologii, Warszawie.
Neurol Neurochir Pol. 1994 Nov-Dec;28(6):825-36.
Twenty-six epileptics, 16 males and 10 females, with various types of myoclonia were studied. In all patients routine EEG, 24-hour EEG and/or Video-EEG, also with EMG recording were done. Combined detailed clinical-electrophysiological analysis was possible owing to the modern methods of diagnostic examinations and it enabled five epileptic syndromes to be isolated in this group, that is: childhood epilepsy with absence attacks (CAE), juvenile absence epilepsy (JAE), juvenile myoclonic epilepsy (JME), progressive myoclonic epilepsy (PME) and photogenic epilepsy. Clinical features of four types of myoclonia occurring in these cases are described in detail since they make possible differential diagnosis of epilepsy syndromes. This is important since the diagnostic and therapeutic methods differ in these cases, and similarly the prognosis varies in these epilepsy types. Stress is laid on juvenile myoclonic epilepsy which is as yet too rarely or erroneously diagnosed.
对26名患有各种类型肌阵挛的癫痫患者进行了研究，其中男性16名，女性10名。对所有患者均进行了常规脑电图、24小时脑电图和/或视频脑电图检查，同时还进行了肌电图记录。由于采用了现代诊断检查方法，得以进行详细的临床-电生理联合分析，从而在该组患者中分离出五种癫痫综合征，即：儿童失神癫痫（CAE）、青少年失神癫痫（JAE）、青少年肌阵挛癫痫（JME）、进行性肌阵挛癫痫（PME）和光源性癫痫。详细描述了这些病例中出现的四种肌阵挛类型的临床特征，因为它们有助于癫痫综合征的鉴别诊断。这一点很重要，因为这些病例的诊断和治疗方法不同，而且这些癫痫类型的预后也有所不同。重点强调了青少年肌阵挛癫痫，目前对其诊断仍然过少或有误。
