Aylett S E, Cross J H, Taylor D C, Boyd S G, Neville B G
Department of Neurology, Hospital for Children NHS Trust, London, United Kingdom.
Eur Child Adolesc Psychiatry. 1996 Dec;5(4):222-5. doi: 10.1007/BF00538850.
A girl aged 9 years with Rasmussen's encephalitis previously treated by left temporal lobectomy suddenly developed prolonged attacks of extremely rapid respirations associated with poverty of body movements and greatly reduced facial movements with loss of speech. Her comprehension appeared intact and she responded to certain requests. Her eye gaze behaviour suggested a high degree of vigilance. The attacks would last from minutes to hours and were repeated up to a dozen times daily. In the context of the stress generated by the illness and other family problems the attacks had been mistaken for an hysterical elaboration. Their ictal nature was confirmed by EEG/video monitoring. Possible links with other developmental language disorders associated with epilepsy are discussed, including a model of autism.
一名9岁患有拉斯穆森脑炎的女孩，此前接受过左侧颞叶切除术，突然出现长时间的极快速呼吸发作，伴有身体活动减少、面部活动大幅减少及言语丧失。她的理解力似乎完好，能对某些要求做出反应。她的眼神行为表明高度警觉。发作持续数分钟至数小时，每天重复多达十二次。在疾病及其他家庭问题产生的压力背景下，这些发作曾被误诊为癔症性表现。脑电图/视频监测证实了其发作性质。文中讨论了与癫痫相关的其他发育性语言障碍的可能联系，包括一种自闭症模型。
