Painful generalised clonic and tonic-clonic seizures with retained consciousness
Painful generalised clonic and tonic-clonic seizures with retained consciousness
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DOI：
10.1136/jnnp.63.6.792
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发表时间：
1997-12-01
影响因子：
11
通讯作者：
Radtke, RA
中科院分区：
文献类型：
--
作者：
Bell, WL;Walczak, TS;Radtke, RA
本文报告了两名在双侧阵挛或强直-阵挛发作期间意识和记忆被保留的患者，并回顾了先前报道的三名患者。发作符号学不同于肌阵挛和辅助性运动性癫痫，后者是以双侧运动和保持意识为特征的其他癫痫类型。在这两名新患者中，发作痛是一个突出的特征。有人认为，癫痫活动的传播可能局限于双侧感觉运动区，而保留了参与维持意识和处理语言和记忆的神经结构。这种不寻常的癫痫发作可能被误诊为假性癫痫。对发作事件的详细描述和进一步的实验室评估，包括视频脑电监测可能是必要的，以作出区分。
Two patients in whom consciousness and memory were retained during bilateral clonic or tonic-clonic seizures are reported on, and three patients reported on previously are reviewed. Ictal semiology differed from myoclonic and supplementary motor seizures, which are other seizure types characterised by bilateral motor movements and retained awareness. In the two new patients ictal pain was a prominent feature. It is proposed that propagation of seizure activity may be confined to the sensorimotor areas bilaterally while sparing the neural structures involved in maintaining consciousness and in processing language and memory. This unusual type of seizure may be misdiagnosed as a pseudoseizure. Detailed description of the ictal events and further laboratory evaluation including video-EEG monitoring may be necessary to make the distinction.