论文部分内容阅读
目的 :观察额叶癫患者的临床特点、EEG表现、治疗方法及效果。方法 :回顾性分析 62例额叶癫患者的临床表现、发作期及发作间期EEG改变和抗癫药物的治疗效果。结果 :额叶癫常见的发作形式为复杂部分性发作 (82 % ) ,主要表现为假自主运动 ,发声及重复语言 ,姿势性强直 ,并伴有发作持续时间短、频繁发作、发作后神志恢复快等特点。发作期EEG样放电检出率 10 0 % ,但能定位额区仅占 74% ,发作间期EEG 8例无阳性发现。经抗癫药物治疗 ,有效率达 93 % ,其中 5 0 %完全控制发作 ,主要用药为卡马西平。随访 2～ 5年 ,仍有效者占 88%。结论 :额叶癫为一组以运动症状为主要表现的特征性癫综合征 ,卡马西平治疗效果满意
Objective: To observe the clinical features of frontal lobe epilepsy, EEG manifestations, treatment methods and effects. Methods: A retrospective analysis of 62 cases of frontal lobe epilepsy patients with clinical manifestations, seizures and interictal EEG changes and anti-epileptic drug treatment. Results: The common seizures of frontal lobe epilepsy were complicated partial seizures (82%). The main manifestations were frontal lobe epilepsy with pseudo-self-motility, vocalization and repetitive speech, posture rigidity, short duration of seizures, frequent seizures, Fast recovery and so on. In the attack period, the detection rate of EEG-like discharge was 100%, but it only accounted for 74% of the seizure volume. There were no positive findings in 8 cases of EEG during the interictal period. The antiepileptic drug treatment, the effective rate of 93%, of which 50% completely control the attack, the main drug carbamazepine. Follow-up 2 to 5 years, still effective accounted for 88%. CONCLUSION: Frontal lobe epilepsy is a group of characteristic epilepsy syndrome characterized by motor symptoms. The effect of carbamazepine is satisfactory