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一名15岁失神发作患者在3Hz广泛性棘慢波之前出现14Hz和6Hz正性棘波:一例报告

14 and 6 Hz positive spikes preceding 3 Hz generalized spike and wave in a 15 year old patient with absence: a case report.

作者信息

Oletsky H, Greenfield J, Sato S

机构信息

EEG Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD 20892, USA.

出版信息

Electroencephalogr Clin Neurophysiol. 1998 Mar;106(3):262-4. doi: 10.1016/s0013-4694(97)00127-2.

DOI:10.1016/s0013-4694(97)00127-2
PMID:9743286
Abstract

A 15 year old girl with a history of childhood absence seizures underwent a prolonged EEG recording. Twelve bursts of 3 Hz generalized spike and wave were recorded during drowsiness and light sleep, all of which were preceded by 14 and 6 Hz positive spikes with a latency of under 1 s. Nine bursts of polyspike-wave, not preceded by 14 and 6 Hz positive spikes, were recorded during deeper sleep (stage 3). The bursts of polyspike-wave were significantly longer when preceded by 14 and 6 Hz spikes than when observed in isolation. The close association between these paroxysmal events in our patient is intriguing, may be coincidental, and has never before been reported.

摘要

一名有儿童失神发作病史的15岁女孩接受了长时间的脑电图记录。在嗜睡和浅睡眠期间记录到12阵3Hz的广泛性棘慢波,所有这些发作之前均有潜伏期小于1秒的14Hz和6Hz正相棘波。在深度睡眠(3期)期间记录到9阵多棘慢波,其之前没有14Hz和6Hz正相棘波。当多棘慢波发作之前有14Hz和6Hz棘波时,其持续时间明显长于单独出现时。我们患者中这些阵发性事件之间的密切关联很有趣,可能是巧合,且此前从未有过报道。

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14 and 6 Hz like spike wave activity is a common finding in young patients with Prader-Willi syndrome.14和6赫兹样棘波活动在普拉德-威利综合征的年轻患者中是常见表现。
J Clin Sleep Med. 2024 Aug 1;20(8):1227-1232. doi: 10.5664/jcsm.11078.
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Polyspike and waves do not predict generalized tonic-clonic seizures in childhood absence epilepsy.多棘慢波不能预测儿童失神癫痫的全面强直阵挛发作。
J Child Neurol. 2010 Apr;25(4):475-81. doi: 10.1177/0883073809341665.