Saka E, Saygi S, Ciğer A, Selekler K
Department of Neurology, Hacettepe University Hospital, Ankara, Turkey.
Seizure. 1996 Dec;5(4):299-302. doi: 10.1016/s1059-1311(96)80024-0.
Twelve cases with circling seizures are presented with their clinical, electroencephalographic and radiological findings. Four patients had symptomatic partial epilepsy, five had cryptogenic partial epilepsy, and the remaining three had idiopathic generalized epilepsy. Three of the patients with symptomatic partial epilepsy had frontal lesion, and one had parito-occipital lesion. Turning direction had no lateralizing value in patients with partial epilepsy. Based on our study we conclude that circling seizures may occur in different epileptic syndromes and epilepsies. In cases with symptomatic partial epilepsy, lesions are mostly located in frontal lobes but also in parietooccipital areas.
本文报告了12例环形发作患者的临床、脑电图及影像学检查结果。4例为症状性部分性癫痫,5例为隐源性部分性癫痫,其余3例为特发性全身性癫痫。症状性部分性癫痫患者中有3例有额叶病变,1例有顶枕叶病变。部分性癫痫患者的转向方向无定位价值。根据我们的研究,我们得出结论,环形发作可发生于不同的癫痫综合征和癫痫类型。在症状性部分性癫痫患者中,病变大多位于额叶,但也可位于顶枕叶区域。