少年肌阵挛癫痫12例临床特征分析  

Clinical Analysis of 12 cases with Juvenile Myoclonic Epilepsy

作　　者：彭锋[1] 郑维红[1] 黄琼华[1] 

机构地区：[1]厦门大学附属中山医院(福建医科大学教学医院)神经内科,福建省厦门市361004

出　　处：《中国全科医学》2010年第26期2986-2987,共2页Chinese General Practice

基　　金：福建厦门市科技局资助项目(3502Z20084019)

摘　　要：目的研究少年肌阵挛癫痫(juvenile myoclonic epilepsy,JME)的临床及脑电图特点。方法对12例JME患者的临床表现、脑电图资料及药物疗效进行回顾分析。结果 12例患者均有肌阵挛发作,部分合并全面强直-阵挛发作和(或)失神发作;脑电图表现快速、全面棘-慢波或多棘-慢波;采用丙戊酸钠、托吡酯治疗,效果较好。结论 JME的诊断主要依据临床特征,应详细询问肌阵挛发作史,必要时行视频脑电图监测。Objective To research clinical and EEG characteristics of patients with juvenile myoclonic epilepsy （JME）.Methods Twelve patients were retrospectively studied on clinical characteristics,EEG data and drug efficacy.Results Twelve patients had myoclonic seizures,some accompanied with generalized tonic-clonic seizures and （or） absence seizures.The EEG has rapid generalized spike-wave or polyspike-wave complexes.Treatment with Sodium Valproate and topiramate has a satisfying efficacy.Conclusion Diagnosis of juvenile myoclonic epilepsy is primarily based on clinical features,history of myoclonic seizures should be carefully asked.video EEG monitoring should be performed if necessary.

关 键 词：少年肌阵挛癫痫 癫痫 脑电图 临床特征 

分 类 号：R742.1[医药卫生—神经病学与精神病学]