麻将游戏诱发癫痫发作14例报告

Reflex epilepsy induced by playing Mah-jong:14 cases report

目的 分析玩麻将诱发癫痫的临床特点。方法 回顾性分析 1996～ 2 0 0 0年在我院癫痫中心诊治的 14例因玩麻将引起癫痫发作的患者。结果 2例患者表现为部分性发作继发全身性发作 ,余 12例表现为全身强直 阵挛性发作。发作间歇期脑电图检查 13例正常 ,1例呈爆发性双侧对称性同步高波幅 3次 /s的棘慢波综合。 14例均未服用抗癫痫药。结论 玩麻将诱发的癫痫属于反射性癫痫。其发生机制可能与打麻将时思考、空间任务和决定有关 ,是一种良性癫痫 ,避免打麻将则癫痫发作停止。

Objective To analyse clinical characteristics of patients with epilepsy induced by playing Mah-jong.Methods The medical records of 14 epileptic patients who were admitted at the Epilepsy Center of PUMC Hospital chief complaint of Mah-jong induced epileptic seizures from 1996 to 2000 were retrospectively reviewed.Results 12 patients showed generalized tonic-clonic seizures and 2 patients showed partial seizures with secondary generalization. Interictally, normal EEG were found in 13 patients, and one patient was discharged. None patients recept anticonvulsant therapy for preventing seizures. Conclusion Mah-jong induced epilepsy, a reflex epilepsy, is probably related to thinking,spatial task and decision making while playing mah-jong. It is benign, and could be easily prevented by stopping playing Mah-jong.