Terada K, Ikeda A, Nagamine T, Kaji R, Shibasaki H, Kimura J
Department of Neurology, Kyoto University Faculty of Medicine.
Rinsho Shinkeigaku. 1994 Mar;34(3):211-6.
A prolonged video/electroencephalogram (EEG) monitoring was performed in two patients with intractable epilepsy after adult onset acute encephalitis. Clinically both patients were thought to have a localized epileptogenic focus because of the single stereotyped clinical seizures by history in two patients, and a well localized lesion shown by MRI in one patient. The video/EEG monitoring, however, revealed multiple EEG foci ictally as well as interictally in both patients. Moreover, both patients were found to have at least two different patterns of clinical seizures. In patients with adult onset postencephalitic epilepsy, therefore, it is necessary and important to evaluate enough number of seizures by prolonged video/EEG monitoring even if seizures are clinically stereotyped by history and localized lesions are present on brain imaging.
对两名成年起病的急性脑炎后难治性癫痫患者进行了长时间的视频/脑电图（EEG）监测。从临床角度来看，两名患者因有单一刻板的临床发作史，被认为存在局限性致痫灶，其中一名患者的MRI显示有定位明确的病变。然而，视频/EEG监测显示，两名患者在发作期和发作间期均有多个EEG病灶。此外，两名患者均被发现至少有两种不同类型的临床发作。因此，对于成年起病的脑炎后癫痫患者，即使临床发作史刻板且脑成像显示有定位明确的病变，通过长时间的视频/EEG监测评估足够数量的发作也是必要且重要的。
