短暂性癫痫性遗忘症一例  

A case of transient epileptic amnesia

作　　者：吴天晨[1] 范刚启[1] 惠振[1] Wu Tianchen;Fan Gangqi;Hui Zhen(Department of Neurology,the Nanjing Municipal Hospital of Tradition Chinese Medicine,Jiangsu 210001,China)

机构地区：[1]南京市中医院脑病科,江苏210001

出　　处：《脑与神经疾病杂志》2018年第11期685-690,共6页Journal of Brain and Nervous Diseases

摘　　要：目的探讨短暂性癫痫性遗忘症临床特点、磁共振(MRI)的影像学特征、脑电图(EEG)的表现、治疗方法以及预后。方法分析1例短暂性癫痫性遗忘症的临床资料,结合相关文献对其临床表现进行分析。结果在患者癫痫发作期的磁共振DWI序列提示右侧额颞枕顶叶脑皮质见高信号影。EEG提示广泛中度异常(各导可见尖慢波),δ波呈长程节律次数阵发,右侧明显。经过相关癫痫药物治疗后情况明显好转,近事遗忘现象不再出现。结论短暂性癫痫性遗忘症和短暂性全面遗忘在临床上表现极其相似,容易造成误诊,发作期的EEG及MRI对其诊断尤其重要,确诊后选择合适的抗癫痫药物,患者愈后良好。Objective To explore the clinical features of transient epilepsy amnesia,features of magnetic resonance imaging(MRI),performance of EEG,treatment and prognosis.Method The clinical feature of transient epileptic amnesia are analyzed by studying the clinical data of one patient with transient epileptic amnesia and following relevant literratures.Results The DWI sequence of magnetic resonance imaging in patients with epileptic seizure indicated that the right frontal temporal occipital cortex saw high signal shadow and widely moderate abnormality.EEG show hat the delta wave has a long rhythm and the right side is obvious.After the treatment of the related epilepsy drugs,the situation is significantly improved.Conclusion Transient epileptic amnesia and transient total amnesia are very similar in clinica.It's easy to misdiagnose.An EEG and MRI of the period of onset of the disease are of particular importance,After diagnosis,I have select the appropriate antiepileptic drug,the patient gradually recovery.

关 键 词：短暂性癫痫性遗忘 短暂性全面性遗忘 癫痫 

分 类 号：R741.01[医药卫生—神经病学与精神病学]