Arias M, Bouzón J L, Requena I, Lema C, Ecenarro P, Pereiro I, Ventura M
Servicio de Neurología, Hospital de Conxo, Complejo Hospitalario Universitario de Santiago.
Neurologia. 1996 Jun-Jul;11(6):230-2.
A female patient with clinically defined multiple sclerosis presented episodes of audiovisual hallucinations in the form of projections of her own body image speaking to her. EEG and EEG-Holter studies were normal. MRI revealed multiple areas of hypersignals in white matter, particularly in both temporal lobes. The episodes remitted with carbamazepine therapy. We postulate that this phenomenon of autoscopy, which is unusual in multiple sclerosis, may be related to a mechanism of ephaptic transmission in the temporal lobe that is inhibited by carbamazepine, or it may be related to seizure.
一名临床诊断为多发性硬化症的女性患者出现了以自己身体形象的投影与她说话的视听幻觉发作。脑电图和动态脑电图检查均正常。磁共振成像显示白质有多个高信号区域,尤其是在双侧颞叶。卡马西平治疗后发作缓解。我们推测,这种在多发性硬化症中不常见的自体幻觉现象,可能与颞叶中被卡马西平抑制的触突传递机制有关,或者可能与癫痫发作有关。