Ictal video-EEG recording of three partial seizures in a patient with the benign infantile convulsions associated with mild gastroenteritis
Ictal video-EEG recording of three partial seizures in a patient with the benign infantile convulsions associated with mild gastroenteritis
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DOI：
10.1111/j.1528-1157.1999.tb02020.x
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发表时间：
1999-10-01
期刊：
影响因子：
5.6
通讯作者：
Okada, S
中科院分区：
文献类型：
--
作者：
Imai, K;Otani, K;Okada, S
目的：在婴儿中，良性惊厥可由发热性疾病或轻度腹泻（如轮状病毒胃肠炎）引发。这些抽搐的触发机制仍然未知。尽管有一些关于临床特征的报道，但发作期EEG记录很少被视频EEG监测系统分析。方法：采用脑电图闭路电视记录仪记录3例轻度胃肠炎合并无热性惊厥患者的发作期脑电图，并与文献报道进行比较（EEG-CCTV）监测系统在一个6个月大的健康女婴。结果：所有癫痫发作均以复杂部分性癫痫发作（CPS）开始，表现为双眼不动凝视伴或不伴斜视，并发展为继发性全身强直-阵挛发作（SGTCS），持续时间约90 s。每三个发作放电开始从右枕，右centroparietotemporal，左枕regions，respectively.Conclusions：虽然发起网站的良性婴儿惊厥与轻度胃肠炎（BICE）发作放电的患者之间的变量，这些结果表明，即使在同一个婴儿癫痫发作之间的差异。
Purpose: In infants, benign convulsions can be triggered by febrile illness or mild diarrhea such as Rotavirus gastroenteritis. The triggering mechanism of these convulsions is still unknown. In spite of several reports concerning clinical features, the ictal EEG recordings were rarely analyzed by a video-EEG monitoring system. To reveal a clue for the triggering mechanism of these convulsions, we analyzed the correlation of clinical manifestations and the EEG discharges during the ictal events and compared with previous reports.Methods: The ictal EEG of a cluster of three afebrile convulsions associated with mild gastroenteritis was recorded by an EEG closed-circuit TV (EEG-CCTV) monitoring system in a 6-month-old healthy female infant.Results: All seizures began as complex partial seizures (CPSs), which exhibited a motionless stare with or without leftward deviation of both eyes, and evolved to secondarily generalized tonic-clonic seizures (SGTCSs) for similar to 90 s. Each of three ictal discharges began from the right occipital, right centroparietotemporal, and left occipital regions, respectively.Conclusions: Although initiating sites of ictal discharges of benign infantile convulsions associated with mild gastroenteritis (BICE) were previously reported to be variable among patients, these results indicated that those differ among seizures even in a same infant.