CAJ | 학술논문

目的探讨癫痫发作后神经功能缺损的病例特点.方法回顾性分析7例特殊形式的癫痫发作后神经功能缺损的病例特点,并进行相关的文献回顾分析.结果 7例癫痫发作后神经功能缺损患者,6例出现于癫痫持续状态后,5例存在颅内结构性病灶,癫痫发作后神经功能缺损存在多种形式,如肢体瘫痪、失语、认知障碍、凝视麻痹及偏盲等,神经功能缺损时间可持续达3月.结论癫痫发作后神经功能缺损患者多发生于癫痫持续状态之后,患者多存在颅内器质性脑损害的结构基础,神经功能缺损存在多种形式、持续时间不同,多数预后良好.
목적 탐토전간발작후신경공능결손적병례특점.방법 회고성분석7례특수형식적전간발작후신경공능결손적병례특점,병진행상관적문헌회고분석.결과 7례전간발작후신경공능결손환자,6례출현우전간지속상태후,5례존재로내결구성병조,전간발작후신경공능결손존재다충형식,여지체탄탄、실어、인지장애、응시마비급편맹등,신경공능결손시간가지속체3월.결론 전간발작후신경공능결손환자다발생우전간지속상태지후,환자다존재로내기질성뇌손해적결구기출,신경공능결손존재다충형식、지속시간불동,다수예후량호.
Objective To investigate the clinical features of post-epileptic dysfunction. Methods The clinical data of 7 patients with special syndromes of post-epileptic dysfunction were retrospectively analyzed and related literatures were reviewed. Results Six patients with post-epileptic dysfunction experienced status epilepticus and 5 patients had brain structural lesions among these 7 patients. Post-epileptic dysfunction had different syndromes, including post-epileptic paralysis, post-epileptic aphasia, cognitive disorder, gaze palsy and hemianopsia. The duration of dysfunction could last for 3 months. Conclusion The great majority of patients with post-epileptic dysfunction experience status epilepticus and have brain structural lesions. Post-epileptic dysfunction includes various different syndromes and can last from several days to 3 months with good prognosis.