Kuzniecky R
UAB Epilepsy Center, Department of Neurology, University of Alabama at Birmingham, 35213, USA.
Epilepsia. 1998;39 Suppl 4:S24-31. doi: 10.1111/j.1528-1157.1998.tb05122.x.
Symptomatic occipital lobe epilepsy is increasingly recognized among patients with partial-onset seizures. Although traditional clinical and electroencephalographic criteria had defined occipital lobe epilepsy in the past, new neuroimaging techniques and the recognition of specific syndromes associated with occipital lobe epilepsy have improved the diagnosis and management of these patients. These syndromes include, among others, lesional occipital lobe epilepsy (congenital vs. acquired), MELAS, and epilepsy with bilateral occipital calcifications. The diagnosis of symptomatic occipital lobe epilepsy is improving as functional and structural neuroimaging techniques enable the detection of subtle abnormalities in such patients. This has had a direct impact on the correct classification of patients with benign occipital lobe epilepsy, basilar migraine, and symptomatic occipital lobe epilepsy. The common clinical symptoms, EEG patterns, and neuroimaging findings of these patients are discussed.
症状性枕叶癫痫在部分性发作患者中越来越受到认可。尽管过去传统的临床和脑电图标准已对枕叶癫痫进行了定义，但新的神经影像学技术以及对与枕叶癫痫相关的特定综合征的认识，改善了这些患者的诊断和管理。这些综合征包括病变性枕叶癫痫（先天性与后天性）、线粒体脑肌病伴乳酸血症和卒中样发作（MELAS）以及双侧枕叶钙化的癫痫。随着功能和结构神经影像学技术能够检测出此类患者的细微异常，症状性枕叶癫痫的诊断正在改善。这对良性枕叶癫痫、基底型偏头痛和症状性枕叶癫痫患者的正确分类产生了直接影响。本文讨论了这些患者常见的临床症状、脑电图模式和神经影像学表现。
