Visual Reflex Seizures Induced by Complex Stimuli

Visual Reflex Seizures Induced by Complex Stimuli
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复杂刺激引起的视觉反射性癫痫发作

DOI:
10.1111/j.0013-9580.2004.451005.x
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发表时间:
2004
期刊:
影响因子:
5.6
通讯作者:
Y. Inoue
Y. Inoue
中科院分区:
医学1区
文献类型:
--
作者:
B. Zifkin;Y. Inoue

文献摘要

被引文献

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摘要:复杂刺激引起的视觉反射癫痫发作可能是由现在普遍存在的图案和闪烁显示触发的。 癫痫发作在临床上可能是全身性的,但也可能触发单侧和双侧肌阵挛发作,特别是在青少年肌阵挛性癫痫患者中,最近,已经描述了明确的局灶性反射枕叶癫痫发作。可以识别视频显示器的一些癫痫发作触发属性,例如感知亮度、模式、闪烁频率和颜色。这些知识在规划个人治疗和设计电视广播或其他视频显示的屏幕内容的规定方面是有用的。一些受试者也会对认知或动作编程激活敏感,特别是在玩视频游戏时,这可能会增加癫痫发作触发的机会。非特异性因素,如睡眠剥夺,长期暴露,药物或酒精的使用也可能在反射性癫痫发作的发生中发挥作用。
Summary:  Visual reflex seizures induced by complex stimuli may be triggered by patterned and flashing displays that are now ubiquitous. The seizures may be clinically generalized, but unilateral and bilateral myoclonic attacks also may be triggered, especially in patients with juvenile myoclonic epilepsy, and recently, clearly focal reflex occipital lobe seizures have been described. Some seizure‐triggering properties of video displays can be identified, such as perceived brightness, pattern, flicker frequency, and color. Knowledge of these is useful in planning individual treatment and in designing regulations for screen content of television broadcasts or for other video displays. Some subjects will also be sensitive to cognitive or action‐programming activation, especially when playing video games, and this can increase the chance of seizure triggering. Nonspecific factors such as sleep deprivation, prolonged exposure, and drug or alcohol use also may play a role in reflex seizure occurrence.