Ictal cognitive assessment of partial seizures and pseudoseizures
Ictal cognitive assessment of partial seizures and pseudoseizures
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DOI：
10.1001/archneur.55.11.1456
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发表时间：
1998-11-01
影响因子：
--
通讯作者：
Radtke, RA
中科院分区：
文献类型：
--
作者：
Bell, WL;Park, YD;Radtke, RA
背景：先前的研究表明，复杂部分性癫痫发作（CPS）和假性癫痫发作（PS）期间反应能力受损；然而，据我们所知，还没有使用反应和记忆测试进行系统比较。 目的：使用反应性和记忆的发作期认知评估（ICA）来比较 CPS 和 PS。 患者和方法：我们在视频脑电图监测过程中，由家庭成员和工作人员组成的床边观察员使用 ICA 的非自动化方法来测试 245 个事件的发作期反应性和记忆力。我们评估了测试的充分性，并比较了 31 名患者在 CPS 期间和 13 名患者在 PS 期间的测试结果。结果：在 58% 的事件中，命令的发作性呈现是成功的。在 57% 的事件中，至少 2 个记忆项目的发作期呈现以及定向后的回忆测试是足够的。 CPS 和 PS 期间均表现出反应能力受损。然而，与 18% 的 CPS 相比，48% 的 PS 期间检测到了一些反应（P
Background: Previous studies suggest that responsiveness is impaired during complex partial seizures (CPS) and pseudoseizures (PS); however, to our knowledge, there has been no systematic comparison using both response and memory testing.Objective: To compare CPS with PS using ictal cognitive assessment (ICA) of responsiveness and memory.Patients and Methods: We used a nonautomated method of ICA by bedside observers, consisting of family members and staff, during video electroencephalographic monitoring to test responsiveness and memory during the ictal phase in 245 events. We assessed the adequacy of testing and compared the testing results in 31 patients during CPS and 13 patients during PS.Results: The ictal presentation of a command was successful in 58% of the events. The ictal presentation of at least 2 memory items with testing for recall after orientation was adequate in 57% of events. Impaired responsiveness was shown during both CPS and PS. However, some response was detected during 48% of PS compared with 18% of CPS (P