额叶非惊厥性癫痫持续状态临床和脑电图特征
卢强;金丽日;周祥琴;黄颜;崔丽英;吴立文;
摘要(Abstract)：
目的探讨额叶非惊厥性癫痫持续状态的临床和脑电图特点。方法对北京协和医院神经科2009年8月至2010年8月收治的3例额叶非惊厥性癫痫持续状态患者的临床和视频脑电资料进行分析。结果 3例患者均为女性,发作时的临床表现既有相似之处(均表现有意识损害,认知功能障碍,不伴有惊厥发作)又有各自特点。同步脑电图示发作起源于额部但波型各不相同,分别为棘慢复合波节律、慢波节律和尖波节律。虽然即刻结局良好:2例患者发作被静脉注射地西泮中止,另1例持续40h后自然停止。但随访证实3例患者均反复发作,作为部分性发作一线抗癫痫药物的卡马西平疗效不佳。结论额叶非惊厥性癫痫持续状态是一组临床和脑电图表现复杂多样具有特征性的综合征,及时行发作期脑电图检查是诊断的关键。卡马西平治疗可能反应欠佳。
关键词(KeyWords)：
额叶;非惊厥性癫痫持续状态;视频脑电图
基金项目(Foundation):
作者(Author):
卢强;金丽日;周祥琴;黄颜;崔丽英;吴立文;
Email:
DOI:
参考文献(References)：
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