Ictal monoparesis associated with lesions in the primary somatosensory area

Ictal monoparesis associated with lesions in the primary somatosensory area
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DOI:
10.1212/01.wnl.0000183069.60084.a3
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发表时间:
2005-11-08
期刊:
影响因子:
9.9
通讯作者:
Shibasaki, H
Shibasaki, H
中科院分区:
医学1区
文献类型:
--
作者:
Matsumoto, R;Ikeda, A;Shibasaki, H

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报道了3例发作性手臂单侧瘫痪患者。在单侧瘫痪的对侧大脑半球,在中央顶区可观察到发作性和发作间期的癫痫样放电,在初级上臂躯体感觉区(SI)常可见边界清楚的病变。在存在SI损伤的情况下,感觉运动区的癫痫活动可能导致选择性或主要激活抑制运动系统。
Reported are three patients with ictal monoparesis of an arm. In the hemisphere contralateral to the monoparesis, ictal and interictal epileptiform discharges were observed in the centroparietal area, and a wellcircumscribed lesion was commonly present in the primary arm somatosensory area (SI). In the presence of an SI lesion, the epileptic activity at the sensorimotor area could lead to selective or predominant activation of the inhibitory motor system.