Oana Y
Department of Neuropsychiatry, Tokyo Medical College, Kasumigaura Hospital, Ibaragi, Japan.
Epilepsia. 1998;39 Suppl 5:21-5. doi: 10.1111/j.1528-1157.1998.tb05145.x.
Epileptic seizures and pseudoseizures in temporal lobe epilepsies were studied from the viewpoint of the hierarchy of consciousness. Twenty-two patients with temporal lobe epilepsies (TLE) who showed true amnesia or impairment of consciousness developing from the dreamy state, even though their actions and movement continued, were selected among 160 patients with TLE, nine patients with manifested pseudoseizures, pseudoseizure status, and complex partial seizure status (CPSE) were investigated. Twelve patients in whom impairment of consciousness followed the dreamy state recognized their own existence and maintained some self-directed consciousness. The other 10 patients with amnesia were aware of their goals. Furthermore, pseudostatus ranged from epileptic seizures during pseudoseizure status to pseudoseizures during status epilepticus (SE). In some cases of CPS, awareness and self-directed consciousness were only partially pseudoseizures, disorders of self-directed consciousness are assumed to influence awareness and arousal.
从意识层次的角度对颞叶癫痫中的癫痫发作和假性发作进行了研究。在160例颞叶癫痫（TLE）患者中，选取了22例出现真正失忆或意识障碍（从梦幻状态发展而来，即使其动作和运动仍在继续）的TLE患者，对9例出现明显假性发作、假性癫痫持续状态和复杂部分性癫痫持续状态（CPSE）的患者进行了调查。12例在梦幻状态后出现意识障碍的患者认识到自己的存在并保持了一定的自我导向意识。另外10例失忆患者明确了自己的目标。此外，假性癫痫持续状态的范围从假性发作期间的癫痫发作到癫痫持续状态（SE）期间的假性发作。在某些复杂部分性癫痫（CPS）病例中，意识和自我导向意识仅部分为假性发作，自我导向意识障碍被认为会影响意识和觉醒。
