23例头痛型癫痫的临床与脑电图分析

The Clinic and EEG Analyses of Headache Epilepsia in 23 Cases

目的 :探讨 2 3例头痛型癫痫的临床特点、诊断方法和脑电图表现。方法 :2 3例头痛型癫痫患者于发作或发作间歇期均作神经系统检查和多次脑电图检查。结果 :头痛型癫痫的头痛部位以亲魃褡魃褡魃褡魃褡魃褡魃褡魃褡魃耥现为反复发作剧烈头痛 ,或伴有头晕、恶心、呕吐等症状 ,缓解后无特殊不适 ,神经系统检查及其他有关实验室检查正常。通过脑电图常规检查和诱发试验 ,大多显示痫性放电。结论 :头痛型癫痫是植物神经发作中常见的发作类型 ,唯一表现是头痛 ,脑电图检查对诊断和鉴别诊断有重要意义。

Purpose To evaluate the clinical and electroencephography (EEG) features of headache epilepsia.23 cases. Methods 23 patients of headache epilepsia received nervous system and EEG examination ,when they were attack or in stage of attack. Results The headache position of headache epilepsia mainly involved the forehead and temporal regions ,few of them involved the occipital and parietal lobes. The headache epilepsia manifestations were severe headache of repeated attack, or with those symptoms, such as dizziness, nauses,and vomitus.Without uncomfortable in remission stage. The nervous system and laboratory examination is normal.Through the EEG routine examination and provocative test, the most cases display the ecilepsy discharge.Conclusion Headache epilepsia was a common kind of vegetative nerve stack.The headache was the only expression.The EEG examination could give more useful information about diagnosis and differential diagnosis.