A case report of palialia.
A case report of palialia.
复制标题
帕利利亚病例报告。
DOI：
10.2496/apr.4.677
复制
发表时间：
1984
期刊：
影响因子：
--
通讯作者：
N. Okita
中科院分区：
文献类型：
--
作者：
M. Nagafuchi;Y. Aoki;H. Niizuma;N. Okita
Palilalia 指的是单词或句子的阵发性重复。 对象是一名 61 岁女性。 57岁时，她全身抽搐，接受医学检查。在接受抗惊厥药物治疗后，抽搐很快就消失了。 四年后，在 61 岁的时候，对象突然患上了麻痹症。持续时间不到一分钟，但此后一天会发作几次。她被送往东北大学医院并再次接受检查。 CT检查发现左额叶表面有一低密度区。脑电图显示额顶叶区有异常波，诊断为癫痫。活检显示这是一种慢性炎症性疾病，而不是脑肿瘤。 首次发作后的 2 个月内，Palilalia 经常发生。然而，通过抗惊厥药和抗生素治疗，4个月后病情开始好转，6个月后完全消失。如今，她出院已过去6个月了，她的麻疹症状再也没有复发过。 据推测，左额叶发生的炎症变化阵发性刺激辅助运动区，随后出现癫痫样的麻疹。
Palilalia refers to the paroxymal repetition of a word or sentence. The subject was a 61-year-old female. When she was 57 years old, she suffered a general convulsion and was medically examined. The convulsion soon disappeared when she was treated with an anticonvulsive drug. Four years later, at 61 years old, the subject suffered a sudden attack of palilalia. It lasted for a duration of less than one minute, but thereafter occurred several times a day paroxymally. She was admitted to Tohoku University Hospital and was again examined. CT examination revealed a low-density area on the surface of the left frontal lobe. EEG showed an abnormal wave at the fronto-parietal area, and this was diagnosed as a kind of epilepsy. A biopsy showed that it was a chronic inflammatory disease, and not a brain tumor. Palilalia occurred very often during the 2 months after the first episode. However, with therapy using antico vulsives and antibiotics, the condition began to improve after 4 months and disappeared completely after 6 months. Now 6 months have passed since she left the hospital, and her palilalia has never recurred. It is assumed that the inflammatory change which occurred at the left frontal lobe stimulated the supplementary motor area paroxymally, and subsequently palilalia occurred as a kind of epilepsy.