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目的 分析玩麻将诱发癫痫的临床特点。方法 回顾性分析 1996～ 2 0 0 0年在我院癫痫中心诊治的 14例因玩麻将引起癫痫发作的患者。结果 2例患者表现为部分性发作继发全身性发作 ,余 12例表现为全身强直 阵挛性发作。发作间歇期脑电图检查 13例正常 ,1例呈爆发性双侧对称性同步高波幅 3次 /s的棘慢波综合。 14例均未服用抗癫痫药。结论 玩麻将诱发的癫痫属于反射性癫痫。其发生机制可能与打麻将时思考、空间任务和决定有关 ,是一种良性癫痫 ,避免打麻将则癫痫发作停止。
Objective To analyze the clinical characteristics of playing mahjong-induced epilepsy. Methods A retrospective analysis of 14 cases of epileptic seizures caused by mahjong in 1996-20000 was conducted in epilepsy center of our hospital. Results Two patients showed partial systemic seizures secondary to seizures and the other 12 patients had generalized tonic clonic seizures. Seizure intermittent EEG 13 cases were normal, 1 case was explosive bilateral symmetry synchronous high amplitude 3 times / s spike and wave synthesis. None of the 14 patients took antiepileptic drugs. Conclusion Mahjong-induced epilepsy is reflex epilepsy. Its mechanism may be related to playing mahjong thinking, space tasks and decisions related to a benign epilepsy, to avoid playing mahjong seizures stop.