伴有发热的癫痫源性短暂性全面性遗忘症。

Transient global amnesia of epileptic origin accompanied by fever.

作者信息

Meo R, Bilo L, Striano S, Ruosi P, Estraneo A, Nocerino C

机构信息

Department of Neurology, Medical School, Federico II University, Naples, Italy.

出版信息

Seizure. 1995 Dec;4(4):311-7. doi: 10.1016/s1059-1311(95)80010-7.

DOI:10.1016/s1059-1311(95)80010-7

PMID:8719925

Abstract

The case of a previously healthy 69-year-old female patient is described who presented, in a period of 6 months, 3 long-lasting (from 2 hour- to 10 hour-duration) episodes of transient global amnesia accompanied by a temperature rise. During one of these episodes an EEG was obtained, showing a diffuse alteration, focal slowing, and bitemporal asynchronous paroxysmal activity giving rise to electrical ictal discharges. Interictal EEGs were normal. Cerebral computed tomography was normal. Carbamazepine was given with complete control of the attacks. These episodes may be interpreted as complex partial status with unusual semeiology.

摘要

本文描述了一名69岁既往健康的女性患者的病例，该患者在6个月内出现了3次持续时间较长（2小时至10小时）的短暂性全面遗忘发作，并伴有体温升高。在其中一次发作期间进行了脑电图检查，结果显示弥漫性改变、局灶性减慢以及双侧颞叶异步阵发性活动，引发了癫痫发作期放电。发作间期脑电图正常。脑部计算机断层扫描正常。给予卡马西平后发作得到完全控制。这些发作可被解释为具有不寻常症状学的复杂部分性癫痫持续状态。