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目的分析额叶癫痫患者的临床特点、视频脑电图(VEEG)表现和抗痫治疗效果。方法回顾性分析30例额叶癫痫患者的临床表现、VEEG变化和抗痫治疗效果。结果额叶癫痫常见的发作形式为复杂部分性发作,其发作持续时间较短,发作较频繁,发作间歇期有时VEEG可无阳性所见,典型的临床发作及发作时VEEG记录到的额部或以额部为主的继发同步暴发节律有助于诊断。抗痫治疗有效率为86.7%。结论额叶癫痫是一种具有临床特征性表现的癫痫综合征,易与假性抽搐相混淆。卡马西平和丙戊酸钠联合应用有较好的治疗效果。
Objective To analyze the clinical features, VEEG performance and antiepileptic effect in patients with frontal lobe epilepsy. Methods Retrospective analysis of 30 cases of frontal lobe epilepsy patients with clinical manifestations, VEEG changes and anti-epilepsy treatment. Results The common seizures of frontal lobe epilepsy were complicated partial seizures, with shorter duration of seizures, frequent seizures, occasional episodes of intermittent VEEG without positive findings, typical clinical seizures and VEEG recorded at the time of seizures Department of the main secondary synchronization outbreak rhythm helps diagnose. The effective rate of antiepileptic treatment was 86.7%. Conclusion Frontal lobe epilepsy is a clinical manifestation of epilepsy syndrome, easily confused with the pseudo-convulsions. Carbamazepine and valproate combined application has a better therapeutic effect.