17例弈棋相关性癫痫发作临床特点分析

The clinical features of chess-playing correlated epileptic seizures in 17 patients

目的：分析与弈棋相关的癫痫发作患者的临床特征。方法：选取2012年1月-2015年12月上海交通大学医学院附属新华医院神经内科癫痫数据库中与弈棋相关的癫痫发作患者17例进行随访，收集患者的人口学资料、起病年龄、癫痫发作类型、发作频率、影像学资料以及脑电图资料等，并对患者数据进行统计学分析。结果：17例患者均表现为与弈棋相关的癫痫发作，其中12例为棋奕性癫痫，2例单次发作，3例为继发性癫痫弈棋相关性发作。2例棋奕性癫痫患者的动态脑电图提示痫样放电，2例继发性癫痫弈棋相关性发作患者的动态脑电图亦发现异常放电。行为学干预有助于预防再次发作，而抗癫痫药物（AED）并无特异疗效。结论：出现弈棋相关性癫痫发作的患者首先需明确病因。继发性癫痫弈棋相关性发作可考虑AED治疗；反射性癫痫行为学干预有助于预防再次发作，AED治疗非首选。

Objective：To observe clinical features of chess-playing correlated epileptic seizures in 17 patients. Methods：The 17 patients with chess-playing correlated epilepsy since Jan. 1st 2012 to Dec. 31 2015 from the Department of Neurology of our hospital. Results： All the 17 patients presented with as chess-playing correlated epileptic seizures, 12 of which were reflexa epilepsy, 2 were reflexa seizure, 3 were precipitated epilepsy. Antiepileptic drug （AED） in treatment might be effective for precipitated epi- lepsy. Conclusion.. It is necessary to make certain of the cause of chess-playing correlated epilepsy. Behav- ior intervention can help prevent from further occurence of reflex epilepsy, while AED treatment is not first recommended.