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时间:2020-05-22
《颞叶癫痫的临床、脑电图特征及认知功能分析-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·42·中国实用神经疾病杂志2014年曼且翌!鲞箜塑些!!里望!!!望!!!:!:!:!颞叶癫痫的临床、脑电图特征及认知功能分析曾锦英广东汕尾市人民医院汕尾516600【摘要】目的探讨颞叶癫痫的病因、临床特征、发作期及发作间期脑电图特点和认知功能状况。方法对62例诊断为颞叶癫痫病人的临床特征、脑电图和神经影像学资料及认知功能进行回顾性分析。结果62例患者中38例有强直性阵挛发作(GTCS),52例有复杂部分性发作(CPS),其中15例合并有单纯部分性发作(SPS)。患者常规脑电图(EEG)和剥夺睡眠后再行睡眠描记EEG,共记录到19次临床
2、发作。EEG13例正常外,其余均有单侧或双侧颞叶的棘波、棘慢波、尖波、尖慢波发放,4O例蝶骨电极35例为阳性。EEG38例清醒状态下正常,43例于睡眠状态加蝶骨电极下出现痫样放电。神经影像学检查,29例表现异常,占46.8%,包括血管畸形、肿瘤、海马硬化及发育不良、蛛网膜囊肿、颞叶萎缩等,数量不等。39例少儿患者中21例智力正常,正常率53.84。23例成年患者中,19例智力正常,正常率为82.61。结论脑电图检查尤其睡眠脑电图加蝶骨电极检查可有效对颢叶癫痫患者进行定位,配合神经影像学检查和临床特征分析有助于早发现早治疗。【关键词】癫痫;
3、颞叶;脑电图;认知功能【中图分类号】R741.044【文献标识码】A【文章编号】1673—5110(2014)10—0042~02ClinicalandelectroencephalographiccharacteristicsandcognitivefunctionanalysisofTemporallobeepilepsyZengJinyingThepeople'sHospitalofShanweiCity,Shanwei,GuangdongProvince,516600[Abstract]ObjectiveToexplorethep
4、athogen,clinicalande1ectroencephalographiccharacteristicsandcognitivefunctionanalysisatseizurestageoftemporallobeepilepsy.MethodsTheclinicalfeatures,EEGandneurologicalimagingscienceandcognitivefunctionwereof62temporallobeepilepsypatientswereretrospectivelyanalyzed.Results
5、In62patients,38patientsweregeneralizedtonicclonicseizures(GTCS),52patientswerecomplexpartialseizures(CPS),and15casesweresimplepar—tialseizures(SPS).Atotalof19clinicalseizureswerediscoveredbyconventionalEEGandEEGaftersleepdeprivation.TheEEGofallpatientsshowedunilateralorbi
6、lateraltemporallobespikes,spikeandwave,sharpwaves,sharpslowreleaseexcept13patients.35caseswerepositivein40sphenoidelectrodespatients.EEGshowed38caseswerenormalundernormalwakingstate.43caseswereobservedepileptiformdischargesbysphenoidelectrodesatasleepstate.Neuralimagingst
7、udiesshowed,29caseswereabnormal。accountingfor46.8percent,includingvascularmalformations,tumors,hippocampalsclerosisanddys—plasia,arachnoidcyst。temporallobeatrophy,varyingamounts.Theintelligenceof21childrenpatientswerenormal,withtherateof53.84.Andtheintelligenceof19adultpa
8、tientswerenormalin23cases,withtherateof82.61%.ConclusionEEGcombinedsphenoidelectrodesexamination
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