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头晕、癫痫与脑电图

Dizziness, epilepsy and the EEG.

作者信息

Hughes J R, Drachman D A

出版信息

Dis Nerv Syst. 1977 Jun;38(6):431-5.

PMID:862501
Abstract

EEGs were done on 97 patients with the complaint of dizziness and were compared to a normal control group. In patients with dizziness of a syncopal-like type there was a small but significant increase in the incidence of bitemporal sharp wave discharges. Another group, consisting of 48 patients with seizures was evaluated; 71% had noted dizziness, significantly more than a control group. Most seizure patients experienced dizziness as a syncopal-like sensation with an abrupt onset just before their clinical seizures. The majority also experienced identical episodes of dizziness unassociated with their seizures, possibly as an abortive epileptic phenomenon. Dizziness described as rotational (vertigo) was uncommon in these epileptics.

摘要

对97名主诉头晕的患者进行了脑电图检查,并与正常对照组进行了比较。在有类晕厥型头晕的患者中,双侧颞叶尖波放电的发生率有小幅但显著的增加。对另一组由48名癫痫患者组成的群体进行了评估;71%的患者曾有过头晕,显著多于对照组。大多数癫痫患者将头晕体验为类晕厥感,在临床发作前突然发作。大多数患者还经历了与癫痫发作无关的相同头晕发作,可能是一种癫痫发作前现象。在这些癫痫患者中,描述为旋转性(眩晕)的头晕并不常见。

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1
Dizziness, epilepsy and the EEG.头晕、癫痫与脑电图
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Sleep and sleep deprived EEG in partial and generalized epilepsy.部分性和全身性癫痫中的睡眠及睡眠剥夺脑电图
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The role of EEG in patients with syncope.脑电图在晕厥患者中的作用。
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2
Clinical and electrographic findings in epileptic vertigo and dizziness: a systematic review.癫痫性眩晕和头晕的临床及脑电图表现:一项系统综述
Neurology. 2015 Apr 14;84(15):1595-604. doi: 10.1212/WNL.0000000000001474. Epub 2015 Mar 20.
3
Epileptic dizziness.
癫痫性眩晕
Br Med J (Clin Res Ed). 1981 Feb 28;282(6265):687-9. doi: 10.1136/bmj.282.6265.687.
4
Approach to syncope.晕厥的处理方法
J Gen Intern Med. 1986 Jan-Feb;1(1):49-58. doi: 10.1007/BF02596326.