An insulinoma with clinical and electroencephalographic features resembling complex partial seizures

An insulinoma with clinical and electroencephalographic features resembling complex partial seizures
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具有类似于复杂部分性癫痫发作的临床和脑电图特征的胰岛素瘤

DOI:
10.1631/jzus.b0720011
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发表时间:
2008-06
影响因子:
5.1
通讯作者:
Ding, Mei-ping
Ding, Mei-ping
中科院分区:
生物学2区
文献类型:
--
作者:
Hu, Hai-tao;Wang, Shuang;Wen, Shu-qun;Wang, Zhong-jin;Zhang, Bao-rong;Ding, Mei-ping

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我们描述了一名女性患者胰岛素瘤谁经历了反复发作的自动症,混乱和抽搐。此外,她的脑电图(EEG)结果类似于复杂部分性癫痫发作伴继发全身性发作的模式。发作间期EEG显示棘波和尖波,以及左颞叶的局灶性减慢,发作期EEG显示与弥漫性减慢相关的广义棘波和尖波。她最初被误诊为耐药性癫痫。在发现胰岛素瘤并手术切除后,她的脑电图恢复正常,在4年的随访中她没有癫痫。本报告强调需要仔细重新评估所有药物难治性癫痫发作,即使是与脑电图癫痫样放电相关的患者。
We described a female patient with insulinoma who experienced recurrent episodes of automatism, confusion and convulsion. Furthermore, her electroencephalography (EEG) findings resembled the pattern in complex partial seizures with secondary generalization. The interictal EEG showed spikes and sharp waves, as well as focal slowing over the left temporal lobe, and the ictal EEG revealed generalized spikes and sharp waves associated with diffused slowing. She was initially misdiagnosed as pharmacoresistant epilepsy. After the insulinoma was found and surgically removed, her EEG turned normal and she was seizure-free during the 4-year follow-up. This report highlights the need for careful reassessment of all seizures refractory to medication, even for the patients associated with epileptiform discharges on EEG.
DOI: --
发表时间: 1992-02
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