AUTOSCOPIC PHENOMENA WITH SEIZURES
AUTOSCOPIC PHENOMENA WITH SEIZURES
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DOI：
10.1001/archneur.1989.00520460060015
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发表时间：
1989-10-01
影响因子：
--
通讯作者：
BROMFIELD, E
中科院分区：
文献类型：
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作者：
DEVINSKY, O;FELDMANN, E;BROMFIELD, E
我们报告了 10 名患有癫痫发作和自视现象的患者的病例，其中包括看到自己的双重和灵魂出窍的经历，并回顾了文献中的另外 33 例自视癫痫发作的病例。自视现象可能是简单部分性、复杂性部分性或全身性强直阵挛性癫痫发作的症状。自视镜下癫痫发作可能比人们认识到的更为常见；我们发现我们采访的患者中的发病率为 6.3%。在 21 名可以确定癫痫病灶的患者中，有 18 名 (86%) 涉及颞叶。发作期自检患者未发现明显的病灶偏侧化。自身镜下发作对治疗的反应通常与潜在的癫痫病的反应相似。自视现象可能只有在对癫痫患者进行特定询问时才能发现，并且可能是慢性癫痫病的一个重要且令人痛苦的特征。
We report the cases of 10 patients with seizures and autoscopic phenomena, which include seeing one''s double and out-of-body experiences, and review 33 additional cases of autoscopic seizures from the literature. Autoscopic phenomonea may be symptoms of simple partial, complex partial, or generalized tonoclonic seizures. Autoscopic seizures may be more common than is recognized; we found a 6.3% incidence in the patients we interviewed. The temporal lobe was involved in 18 (86%) of the 21 patients in whom the seizure focus could be identified. There was no clear lateralization of lesions in patients with ictal autoscopy. The response of autoscopic episodes to treatment usually paralleled that of the underlying seizure disorder. Autoscopic phenomena are likely to be discovered only on specific questioning of patients with epilepsy and may be an important, distressing feature of a chronic seizure disorder.