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失神性癫痫持续状态可能起源于额叶吗?

Can absence status epilepticus be of frontal lobe origin?

作者信息

Kudo T, Sato K, Yagi K, Seino M

机构信息

National Epilepsy Center, Shizuoka Higashi Hospital, Japan.

出版信息

Acta Neurol Scand. 1995 Dec;92(6):472-7. doi: 10.1111/j.1600-0404.1995.tb00483.x.

Abstract

Five women with an unclassifiable nonconvulsive status epilepticus (NCSE) characterized by young age at onset, prolonged confusions, focal motor seizures, and both generalized spike-and-wave discharges and focal epileptic discharges on the EEG were studied with video-EEG monitoring. Electrographically, the NCSE originated from the left frontal lobe in 4 patients, and the left hemisphere with multifocal seizure discharges in 1 patient. Focal motor seizures seemed to originate from the left hemisphere in all 5 patients, particularly from its anterior part in 3 of them. Results show that the NCSE is complex partial status epilepticus of frontal lobe origin electroclinically mimicking absence status epilepticus once it reaches a full-blown phase.

摘要

对5例无法分类的非惊厥性癫痫持续状态(NCSE)患者进行了视频脑电图监测研究,这些患者的特点为起病年龄小、意识模糊持续时间长、局灶性运动性发作,脑电图显示有全身性棘慢复合波放电和局灶性癫痫放电。在脑电图上,4例患者的NCSE起源于左侧额叶,1例患者起源于左半球且有多处癫痫发作放电。所有5例患者的局灶性运动性发作似乎都起源于左半球,其中3例尤其起源于左半球前部。结果表明,NCSE在临床上是额叶起源的复杂部分性癫痫持续状态,一旦发展到全面发作阶段,在电临床方面会模仿失神性癫痫持续状态。

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