The utility of Jerk-locked back averaging technique in diagnosis of generalized myoclonic epilepsy with normal scalp EEG A case report
The utility of Jerk-locked back averaging technique in diagnosis of generalized myoclonic epilepsy with normal scalp EEG A case report
复制标题
Jerk-locked back平均技术在头皮脑电图正常的全身性肌阵挛性癫痫诊断中的应用一例报告
DOI：
10.1097/md.0000000000014185
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发表时间：
2019
期刊：
影响因子：
1.6
通讯作者：
Lv Yudan
中科院分区：
文献类型：
--
作者：
Zheng Xiangyu;Wang Zan;Liu Chang;Hu Minghui;Lv Yudan
干预措施：在此情况下，我们加用了另一种抗癫痫药物左乙拉西坦（1500 mg/24 h）。结果：1周后，抽搐发作消失，在随后的随访中，他的预后有所改善，发作频率降低。教训：脑电图中的广泛性多棘慢波在肌阵挛发作中常见，可以帮助进行分类。然而，它不应该劝阻临床医生诊断肌阵挛性癫痫与正常头皮脑电图。在这种情况下，我们可以应用其他电生理技术，如Jerk-locked back averaging技术，为证实皮层起源提供客观证据。
Interventions:So in this situation, we added another antiepileptic drug of Levetiracetam (1500 mg/24 h).Outcomes:One week later, the jerk seizure had disappeared, and in the following visit, he had an improved prognosis with decreased seizure frequency.Lessons:Generalized polyspike-slow wave in EEG was common to see in myoclonic seizure and can help to make the classification. However, it should not dissuade clinicians from the diagnosis of myoclonic epilepsy with normal scalp EEG. Under this condition, we may apply other electrophysiological technique such as Jerk-locked back averaging technique, to give objective evidence to verify the cortical origin.