枕叶癫的临床表现和脑电图分析  

Analysis of clinical and electroencephalographic features in patients with occipital epilepsy

作　　者：王艺玲 雷叶青 王海裕 

机构地区：[1]广东台山人民医院,台山529200

出　　处：《中国实用神经疾病杂志》2011年第19期18-20,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的总结枕叶癫的临床表现及脑电图特点,以提高临床诊断水平。方法回顾分析16例枕叶癫患者完整的临床资料,总结其发作症状学、影像学及脑电图(EEG)等方面的特征。结果 16例枕叶癫患者中,14例出现发作期或发作后头痛,13例发作性视觉症状表现突出,11例出现发作性客观眼部异常运动,肢体运动症状、植物神经症状、自动症在枕叶癫发作过程中也可以出现。脑电图特点:发作期或间歇期一侧或双侧枕叶的痫性放电。本组7例儿童枕叶癫患者,无脑器质性损害,对抗癫药物(AEDs)反应良好,为儿童良性癫。结论枕叶癫有比较特征的临床和脑电图表现,一般可以做出正确诊断。Objective To study the manifestations and electroencephalography （EEG） features of patients with occipital epilepsy in order to improve clinical diagnosis. Methods Clinical and EEG characteristics of 16 patients who were diagnosed as occipital epilepsy were retrospectively reviewed. Results The clinical characteristics were as follow： 14 patients showed head ache at the beginning of seizures or after the seizure; 13 patients showed visual symptoms; 11 patients showed episodes of abnor- mal eye movements ~ Motor symptoms, autonomic symptoms, automatism also occurred in the course of epileptic seizure. EEG features ： discharge over unilateral or bilateral occipital lobe. Seven cases were partial benign epilepsy of childhood with occipital paroxysm, AEDs responsiveness was good and no brain impaired. Conclusion Occipital lobe epilepsy display distinctive clinical manifestations and EEG features. Mastering clinical and EEG features can make the correct diagnosis generally.

关 键 词：枕叶癫痫 脑电图 

分 类 号：R742.1[医药卫生—神经病学与精神病学]