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对额叶癫癎的临床表现的认识,首先和主要的贡献是Penfield及其同事,他们注意到可逆性的发作,表现为瞪眼伴有意识丧失,和遗忘,强迫思维,刻板行为和主观感觉等。Ethelberg曾描述了其他的体征或症状:累及肢体阵挛性发作的表现、跌倒、言语障碍、运动障碍、和协同的复杂运动障碍,其他的表现包括发笑发作。本文作者是使用遥测EEG的帮助记录了额叶癫癎发作期间所观察到的临床表现。共研究了额叶癫癎病22例,年龄15—40岁(平均25岁),患病2—31年(平均期限10 1/2年),全部病人是没有被药物控制的严重癫癎,10例病人有严重的,明显定位的额叶损害(颅外伤4例;动脉瘤破裂2
First and main contribution to the understanding of the clinical manifestations of frontal lobe epilepsy is that Penfield and his colleagues noticed reversible seizures with stunned and loss of consciousness, and forgotten, obsessive-compulsive thinking, stereotypical behavior and subjective feelings. Other signs or symptoms have been described by Ethelberg: the performance of clonic attacks involving limbs, falls, speech disorders, dyskinesias, and synergistic complex dyskinesias. Other manifestations include amnestic episodes. The authors used the telemetry EEG to document the clinical manifestations observed during the onset of frontal lobe epilepsy. A total of 22 cases of frontal lobe epilepsy were studied, aged 15-40 years (average 25 years) with 2 to 31 years of illness (mean 10 1/2 years). All patients were severe epilepsy without drug control, Ten patients had a severe, clearly localized frontal lesion (4 with traumatic brain injury; 2 with aneurysm rupture