摘要
目的分析癫痫自动症的临床和脑电图(EEG)特征,探讨EEG在癫痫自动症诊断中的意义。方法对46例癫痫自动症患者的临床、神经影像学和EEG进行分析。结果46例患者中,以口咽自动症多见(35/46例),其中以颞叶癫痫居多,言语自动症癫痫活动多起源于非优势半球,过度运动仅见于额叶癫痫;睡眠中或发作期额区起源特征性放电在额叶癫痫定位诊断中价值较高;对颞叶癫痫的诊断蝶骨电极价值较为可靠。结论自动症是多种类型癫痫发作所共有的特征,在其定位诊断中EEG有较高辅助诊断价值。
Objective:To observe the clinical feature and electroencephalogram(EEG) characteristic of automatism seizure.Methods:46 patients suffered from automatism seizure were studied.Clinical feature,neuroimaging and EEG of the patients were compared and analysed.Results:Automatism seizure of oral and pharynx took precedence over all the patients (35/46),most of them were temporal lobe epilepsy.Abnormal electric action in verbal automatism epilepsy derived from non-predominant hemisphere.Excessive movements epilepsy only existed in frontal lobe epilepsy.Characteristic electric actions derived from frontal lobe in sleep and epilepsy attack were valuable on diagnosis of frontal lobe epilepsy.Sphenoid pole was very useful and reliable to define temporal epilepsy.Conclusion:Automatism seizure epilepsy were common feature on different kinds of epilepsy.
出处
《山东医药》
CAS
北大核心
2005年第19期4-5,共2页
Shandong Medical Journal
基金
潍坊市科技局立项课题(2004-3)
关键词
自动症
癫痫
脑电图
automatism seizure
epilepsy
electroencephalogram
