Kudo T, Sato K, Yagi K, Seino M
National Epilepsy Center, Shizuoka Higashi Hospital, Japan.
Acta Neurol Scand. 1995 Dec;92(6):472-7. doi: 10.1111/j.1600-0404.1995.tb00483.x.
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.
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。
