CAJ | 학술논문

目的探讨中央区纵裂癫痫患者症状学表现及视频脑电图、加密电极脑电图、颅内电极脑电图的特征.方法对2007年6月至2009年8月确诊为中央区纵裂癫痫并经手术治疗的9例患者资料进行回顾性分析.通过病历采集、视频录像及各种脑电图检查记录,汇总分析各例患者的癫痫发作症状和脑电图特点.结果中央区纵裂癫痫患者病史长,癫痫发作持续时间短,发作频繁而智力受损不明显,多伴有下肢过度运动发作.头皮脑电图显示中线区域放电,波幅低平.纵裂内皮质脑电显示超高波幅节律规整的慢尖波.全部患者术后均达Engel Ⅰ级.结论中央区纵裂癫痫患者癫痫发作症状特异,各种脑电图在不同时相、波幅、节律、导联配置等多方面具有独特表现.
목적 탐토중앙구종렬전간환자증상학표현급시빈뇌전도、가밀전겁뇌전도、로내전겁뇌전도적특정.방법 대2007년6월지2009년8월학진위중앙구종렬전간병경수술치료적9례환자자료진행회고성분석.통과병력채집、시빈록상급각충뇌전도검사기록,회총분석각례환자적전간발작증상화뇌전도특점.결과 중앙구종렬전간환자병사장,전간발작지속시간단,발작빈번이지력수손불명현,다반유하지과도운동발작.두피뇌전도현시중선구역방전,파폭저평.종렬내피질뇌전현시초고파폭절률규정적만첨파.전부환자술후균체Engel Ⅰ급.결론 중앙구종렬전간환자전간발작증상특이,각충뇌전도재불동시상、파폭、절률、도련배치등다방면구유독특표현.
Objective To explore the clinic symptom and the characteristics of video,tightly close,intracranial electroencephalogram (EEG) of patients with central region diastematia epilepsy. Methods Retrospective analysis of 9 patients with central region diastematia epilepsy admitted from June,2007 to August,2009.The characteristics of all patients' seizure symptom and EEG manifestation were analyzed using patients' medical history,video and EEG records.Results Patients with central region diastematia epilepsy had relatively long sezure history.The duration of seizure was commonly short,with frequent episode and no obvious intelligence impairment.The seizure was often accompanied with the hyperkinesia in the lower limbs.Scalp EEG showed discharges with low amplitude waves in the mean line area.The superhigh amplitude and regular rhythm slow sharp wave could be found in the diastematia cortex EEG.All patients had an Engel Class Ⅰ outcome after surgery.Conclusion The seizure symptoms are characteristic in the patients with central region diastematia epilepsy,and some special manifestations can be found in different phase,wave amplitude,rhythm,lead array.