麻将癫癎(附9例临床报道)

Ma-Jiang Epilepsy (Clinical Analysis of 9 Patients with Ma-Jiang Epilepsy)

目的:回顾分析麻将癫痫的临床表现。方法:从1996-2003年门诊求诊的9例麻将癫癎患者临床资料,随访记录及实验室资料进行分析。结果:本组9例患者均由玩麻将诱发癫癎发作(其中2例观看别人玩麻将发作),平均发病年龄(55.22±8.2)岁。6例患者以全身强直-阵挛发作,3例部分性发作继而全身发作。6例脑电图正常,1例局限性颞叶慢波,2例额颞部间歇性慢波活动。脑影像学(头颅CT或MRI)6例正常,1例有腔隙性梗死,2例脑萎缩。9例均无癫癎阳性家族史。9例行抗癫癎药物治疗均已控制。结论:麻将癫癎是反射癫癎的一种类型,可能在玩麻将时思考、紧张、制定决策等因素诱发。麻将癫癎容易控制,除用抗癫癎药物治疗外,避免玩麻将即可预防癫癎发作。

Aim:To retrospectively review clinical manifestation of Ma-jiang epilepsy.Methods: 9 patients with Ma-jiang epilepsy were analyzed including medical data,follow-up records and laboratory examinations who visited our neurologic clinic from 1996 to 2003 .Results: 9 patients with the chief complaint of Ma-jiang induced seizures, the average age of onset is 55.22 ±8.2. the episodes of all cases were induced by playing Ma-jong. Among the 9 patients, six patients had generalized tonie-clonic seizures and three patients had partial seizures with secondary generalization. EEG were found normal in six patients , one had focal temporal slow activity and two had intermittent slow activity in the front of temporal regions. Neuroimaging studies of the brain were normal in six patients, one had lacunar infarctions, two had generalized atrophy, all patients had no family history of epilepsy and received anticonvulsant therapy. The attacks could be completely controlled. Conclusion: Ma-jiang epilepsy is one kind of reflex epilepsy.It is probably related to thinking and decision making while playing Ma-jiang, Ma-jiang eplepsy is easy control of seizures. In addition to anticonvulsant therapy, avoiding playing Ma-jiang may be essential in preventing seizures.