[婴儿良性反射性肌阵挛癫痫]
[Benign reflex myoclonic epilepsy in infants].
作者信息
Cuvellier J C, Lamblin M D, Cuisset J M, Vallée L, Nuyts J P
机构信息
Service des maladies infectieuses et de neurologie infantiles, centre hospitalier régional et universitaire de Lille, hôpital B, France.
出版信息
Arch Pediatr. 1997 Aug;4(8):755-8. doi: 10.1016/s0929-693x(97)83415-x.
BACKGROUND
Myoclonic epilepsy of infancy are seldom benign.
CASE REPORT
A 25-month old girl developed myoclonic jerks either spontaneously either as reflex responses to auditory and tactile stimuli, such as sudden touching of the face or trunk from the age of 4 months. The jerks disappeared after valproate therapy. Neurological examination was normal with a follow-up of 9 months.
CONCLUSION
This condition resembles that described in 1995 by Ricci et al. In must be differentiated from other myoclonic epilepsies of infancy, reflex epilepsies and hyperekplexia. It could be the earliest from of idiopathic generalized epilepsy.
背景
婴儿肌阵挛性癫痫很少是良性的。
病例报告
一名25个月大的女孩从4个月大起就出现了肌阵挛性抽搐，既可以自发出现，也可以作为对听觉和触觉刺激（如突然触摸面部或躯干）的反射反应。丙戊酸治疗后抽搐消失。9个月的随访中神经学检查正常。
结论
这种情况类似于1995年Ricci等人描述的情况。它必须与其他婴儿肌阵挛性癫痫、反射性癫痫和惊跳症相鉴别。它可能是特发性全身性癫痫的最早形式。
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