岛叶癫痫患者的临床特征及头皮录像脑电图分析  

Clinical features and scalp video electroencephalogram analysis of patients with insular epilepsy

作　　者：秦培英[1] 李莉萍[1] 王红星 刘静[1] 王晓妮[1] 宋雷[1] 张进[1] 孙志超[1] 户宁宁 李京[1] 李思然[1] 尹春丽[1] 王玉平 

机构地区：[1]首都医科大学宣武医院神经内科,北京100053 [2]北京脑重大疾病研究院

出　　处：《中华医学杂志》2016年第47期3797-3799,共3页National Medical Journal of China

基　　金：国家自然科学基金（81301138）;国家高技术研究发展计划（863计划）（2015AA020514）;新世纪百千万人才工程北京市级人选（2010-005）

摘　　要：目的 分析12例经过功能神经外科颅内电极证实确诊为岛叶癫痫患者的临床特征及头皮脑电图表现，为岛叶癫痫早期诊断及临床评估提供一些参考。方法 搜集2013年1月至2015年12月在首都医科大学宣武医院住院并经功能神经外科颅内电极确诊为岛叶癫痫的患者，对其临床特征及头皮录像脑电图资料进行分析。结果 91.7%患者发作前有感觉先兆，发作起始意识清楚，常见的发作表现为内脏运动和内脏感觉，常以躯体运动结束；头皮脑电图表现无特征性。结论 岛叶癫痫的诊断应重视其临床发作的特征，当患者具有感觉先兆，发作起始意识清楚，以内脏运动和内脏感觉为主要表现，以躯体运动结束，而常规头皮脑电图无特征性改变时，需警惕岛叶癫痫可能。Objective To explore the clinical and scalp video electroencephalographic（EEG） characteristics of insula lobe epilepsy identified by intracranial electrode, and to provide some references for early diagnosis and clinical evaluation in patients with insula lobe epilepsy.Methods A total of 12 patients diagnosed with insula lobe epilepsy identified by intracranial electrode were included from Xuanwu Hospital of Capital Medical University from January 2013 to December 2015.Their clinical and EEG data were analyzed.Results 91.7% of patients had sensory aura before seizure, and had clear consciousness at onset initial time.Visceral motor and visceral sensation were the most common symptoms, and the epilepsy was always ended with somatic movement.There was no prominent characteristic changes in scalp EEG.Conclusions Clinical features are important for insula lobe epilepsy diagnosis.When patients present symtoms aforementioned, insula lobe epilepsy should be considered.

关 键 词：癫痫 岛叶 脑电图 

分 类 号：R742.1[医药卫生—神经病学与精神病学]