成人复杂部分性癫痫持续状态

ADULT COMPLEX PARTIAL STATUS EPILEPTICUS

目的:观察成人复杂部分性癫痫持续状态的临床特点,探讨病因。方法对4例患者进行临床观察、脑电图分析、头CT及血清免疫学检查。结果:两例病因为脑囊虫病,一例为肝豆状核变性,一例病因未明。结论(1)无癫痫史患者的复杂部分性癫痫持续状态,最大可能为脑器质性病变。(2)卡马西平对复杂部分性癫痫持续状态控制较好。

Objective To observe the clinical characteristic in patients with complex partial status epilepticus (CPSE) and to investigate its cause. Methods The clinical findings, the electroencephalogram (EEG) , computed tomography (CT) and the laboratory data were analysed in 4 patients with CPSE. Result 2 patients showed evidence of cerebral cysticercosis, one patient is hepatolenticular degeneration (HLD), the cause of last patient is don't know. Conclusion (1) Central nervous system disease is one of the most common cause leading to CPSE in the patient who had non epilepsy history. (2) Carbamazepine had obvious curative ef- fects on CPSE.