Karlov V A, Vlasov P N, Ovnatanov B S, Kovalenko G A, Khabibova A O
Zh Nevrol Psikhiatr Im S S Korsakova. 1997;97(7):17-21.
Photosensitive epilepsy (PE) is the most frequent form of reflex epilepsy. Authors picked out two PE forms based on the analysis of the 16 own observations. The first form is PE with environmental factors of the process' provocation, which is characterised by genuine character of disease, pre- and pubertal period of its beginning, considerable prevalence of males among the patients, rare generalized tonic and clonic fits and favorable prognosis. The second form of PE is significantly rarer PE form -with self-induction of the fits. It is characterized by the beginning of the disease in preschool period, even sex distribution, quite frequent evaluated organic damages of brain, nonconvulsive fits, non-efficiency of antiepileptic drugs. The mechanisms of pathogenesis and the ways of fits' prophylaxis were discussed.
光敏性癫痫(PE)是反射性癫痫最常见的形式。作者通过对自身16例观察病例的分析,挑选出两种PE形式。第一种形式是具有诱发疾病过程的环境因素的PE,其特点是疾病性质典型,发病于青春期前和青春期,患者中男性患病率相当高,罕见全身性强直阵挛发作,预后良好。第二种PE形式明显更为罕见——发作自我诱发型。其特点是疾病始于学龄前,性别分布均匀,相当频繁地评估有脑器质性损害,非惊厥性发作,抗癫痫药物无效。文中还讨论了发病机制和发作预防方法。