CAJ | 학술논문

目的：证实偏转发作在枕叶癫痫中的定位定侧价值。方法我们研究9例伴有偏转发作的枕叶癫痫手术治疗患者，应用视频脑电监测记录癫痫发作，术后随访1~2年，分析每例患者的偏转发作与手术侧别，另外还研究其他发作形式与偏转发作的联系。结果9例患者共记录到35次偏转发作，偏转方向均指向病变对侧，此外，枕叶癫痫偏转发作较少伴随部分运动发作。结论枕叶癫痫中偏转发作具有明确的定侧价值，同时，与额叶癫痫相比，枕叶偏转发作具有不同的发作机制。
목적：증실편전발작재침협전간중적정위정측개치。방법아문연구9례반유편전발작적침협전간수술치료환자，응용시빈뇌전감측기록전간발작，술후수방1~2년，분석매례환자적편전발작여수술측별，령외환연구기타발작형식여편전발작적련계。결과9례환자공기록도35차편전발작，편전방향균지향병변대측，차외，침협전간편전발작교소반수부분운동발작。결론침협전간중편전발작구유명학적정측개치，동시，여액협전간상비，침협편전발작구유불동적발작궤제。
Objective To clarify the value of versive seizures in lateralizing and localizing the epileptogenic zone in patients with occipital lobe epilepsy. Methods We studied 9 occipital lobe epilepsy patients with at least one versive seizure recorded during preoperative noninvasive video-EEG monitoring, who underwent occipital lobe resection, and were followed postoperatively for 1-2 years. The videotaped versive seizures were analyzed to compare the direction of version and the side of surgical resection in each patient. Moreover, we examined other motor symptoms associated with version. Results 35 versive seizures were analyzed. The direction of version was always contralateral to the side of resection. Among accompanying motor symptoms, partial somatomotor manifestations were observed in only five patients. Conclusion Versive seizure is a reliable lateralizing sign indicating contralateral epileptogenic zone in occipital lobe epilepsy. Since versive seizures were accompanied by partial somatomotor manifestations in less than half of the patients, it is suggested that the mechanism of version in occipital lobe epilepsy is different from that in frontal lobe epilepsy.