部分性运动性癫痫状态临床分析

Clinical Study of Partial motor Status Epilepticus

目的:分析部分性运动性癫痫状态的临床特点。方法:记录7例部分性运动性癫痫状态患者的临床表现、脑电图及影像学检查结果,给予抗癫痫治疗并随访半年。结果:7例患者中5例病因明确,发作期及发作间期脑电图表现为痫性放电或节律紊乱;随访时5例痫性发作被控制,1例发作减轻,1例猝死。结论:脑电图及MRI有助于提高部分性运动性癫痫状态的诊断,及时有效地控制本病很有必要。

Objective： To analyze the clinical and electroencephalographic （EEG） features of partial motor status epilepticus. Methods： The clinical and EEG characteristics and imaging scanning in 7 patients with partial motor status epilepticus were analyzed. Results： Causes of seizures were ascertained in 5 patients. EEGs showed paroxysmal epileptiform activity or abnormal background during attack or/and interphases. The seizures in live patients were well controlled with antiepileptic drugs, 1 partially. One case was dead because of a sudden unexpected death during sleep. Conclusion： EEG and MRI can be helpful confirmatory procedures in distinguishing seizures from other attacks simulating seizures. It is necessary to control partial motor status epilepticus when managing the patients.