七例特殊类型的癫痫发作后神经功能缺损患者临床特征分析

Clinical features of seven patients with special syndrome of post-epileptic dysfunction

目的探讨癫痫发作后神经功能缺损的病例特点。方法回顾性分析7例特殊形式的癫痫发作后神经功能缺损的病例特点，并进行相关的文献回顾分析。结果7例癫痫发作后神经功能缺损患者，6例出现于癫痫持续状态后，5例存在颅内结构性病灶，癫痫发作后神经功能缺损存在多种形式，如肢体瘫痪、失语、认知障碍、凝视麻痹及偏盲等，神经功能缺损时间可持续达3月。结论癫痫发作后神经功能缺损患者多发生于癫痫持续状态之后，患者多存在颅内器质性脑损害的结构基础，神经功能缺损存在多种形式、持续时间不同，多数预后良好。

Objective To investigate the clinical features of post-epileptic dysfunction. Methods The clinical data of 7 patients with special syndromes of post-epileptic dysfunction were retrospectively analyzed and related literatures were reviewed. Results Six patients with post-epileptic dysfunction experienced status epilepticus and 5 patients had brain structural lesions among these 7 patients. Post-epileptic dysfimction had different syndromes, including post-epileptic paralysis, post-epileptic aphasia, cognitive disorder, gaze palsy and hemianopsia. The duration of dysfurction could last for 3 months. Conclusion The great majority of patients with post-epileptic dysfunction experience status epilepticus and have brain structural lesions. Post-epileptic dysfunction includes various different syndromes and can last fi＇om several days to 3 months with good prognosis.