Jagoda A
Division of Emergency Medicine, University of Florida Health Science Center/Jacksonville.
Emerg Med Clin North Am. 1994 Nov;12(4):963-71.
A significant percentage of seizures are not motor events. These seizures can be misdiagnosed easily if a seizure disorder is not considered in the differential diagnosis. Nonconvulsive seizures can be psychic, somatosensory, or autonomic in their clinical presentation and have the potential to generalize into convulsive events. It is estimated that 25% of all cases of status epilepticus are nonconvulsive, with altered mental status being the primary clinical manifestation.
相当大比例的癫痫发作并非运动性发作。如果在鉴别诊断中未考虑癫痫障碍,这些发作很容易被误诊。非惊厥性癫痫发作在临床表现上可能是精神性、躯体感觉性或自主性的,并且有可能演变为惊厥性发作。据估计,在所有癫痫持续状态病例中,25% 为非惊厥性,主要临床表现为精神状态改变。