论文部分内容阅读
本文报道1例光刺激引起的颞叶癫痫。女性,28岁。21岁时轻度头部外伤后起病。通常的癫痫发作开始有一种称作为“奇异的感觉”(funny feeling)的先兆,之后出现活动停止、意识丧伴明显手部或口颊部自动症,持续1分钟,发作后意识模糊,对发作过程完全遗忘。一般每周发作1～2次,最多1天发作达7次,偶续发癫痫大发作。体检及神经系统检查正常。以卡马西平、大仑丁、鲁米那及其它如丙戊酸、氯氮平、felbamate单一治疗未成功。首次发作时期EEG右蝶骨电极示少量棘波发放。5次上述癫痫发作中,3次为光刺激诱发,2次自发,发作期头皮
This article reports a case of temporal lobe epilepsy caused by light stimulation. Female, 28 years old. 21-year-old onset of mild head trauma. The usual seizures begin with a harbinger of so-called “funny feeling”, followed by cessation of activity, obvious loss of consciousness, hand or buccal autonomy for 1 minute, confusion after the onset, The process is completely forgotten. The general attack 1 to 2 times per week, up to 1 day up to 7 episodes, occasional epileptic seizures. Physical examination and neurological examination were normal. With carbamazepine, darun Ding, luminal and other such as valproic acid, clozapine, felbamate monotherapy failed. The first episode of EEG right sphenoid electrode showed a small spike wave release. 5 times in the above epileptic seizures, 3 times for the light stimulus, 2 times spontaneous, the onset of the scalp