论文部分内容阅读
目的分析和总结额叶癫的临床特点、脑电图特点及误诊情况。方法对26例额叶癫的临床特点、脑电图资料进行回顾性分析。结果额叶癫临床发作形式多样,有姿势性发作、躯体自动症、偏转发作、伴发声及迅速进展的全面强直阵挛发作等,长程录像脑电图监测阳性率高。本组患者误诊率73.1%(19/26),主要误诊为颞叶癫、睡眠障碍、全面强直阵挛发作、精神分裂症及癔症发作等。结论额叶癫临床表现复杂多变,极易误诊,临床医生一定要掌握其临床特点及脑电图特点,长程录像脑电图监测对诊断意义重大。
Objective To analyze and summarize the clinical features of frontal lobe epilepsy, EEG features and misdiagnosis. Methods The clinical features and EEG data of 26 cases with frontal lobe epilepsy were analyzed retrospectively. The results of frontal epilepsy clinical attack in various forms, there are postural seizures, somatosensory autopsy, defensive seizures, vocalization and rapid progress of the comprehensive tonic clonic seizures, long-range recording of positive EEG monitoring. Misdiagnosis rate of 73.1% (19/26) in this group of patients, mainly misdiagnosed as temporal lobe epilepsy, sleep disorders, generalized tonic clonic seizures, schizophrenia and hysteria episodes. Conclusions The clinical manifestations of frontal lobe epilepsy are complex and changeable, so it is easy to be misdiagnosed. Clinicians must master the clinical features and characteristics of electroencephalography. Long-range recording EEG monitoring is of great significance to the diagnosis.