辅助感觉运动区癫痫的临床分析  

Clinical analysis of supplementary sensorimotor erea epilepsy

作　　者：孙利[1] 李放[1] 王晓梅[1] 王静[2] 刘兴洲[1] Sun Li;Li Fang;Wang Xiaomei;Wang Jing;Liu Xingzhou(Department of Neurology,Fuxing Hospital,Capital Medical University,Bejing 100038,China)

机构地区：[1]首都医科大学附属复兴医院神经内科,北京100038 [2]首都医科大学附属三博脑科医院神经内科

出　　处：《脑与神经疾病杂志》2023年第8期468-472,共5页Journal of Brain and Nervous Diseases

摘　　要：目的 探讨辅助感觉运动区(SSMA)癫痫的临床表现。方法 分析SSMA癫痫患者3例,均进行长程视频脑电图(VEEG)和头颅磁共振(MRI)检查,1例(例1)颅内电极脑电图证实SSMA起始发作,2例(例2、例3)头颅MRI显示SSMA病灶。结果 患者均出现非对称性强直发作,时间持续在10~20s,发作期脑电图(EEG)通常不能定位。结论 SSMA负责语言、感觉及运动功能,SMA综合征可以部分或完全恢复。Objective To study the clinical characteristics of SSMA epilepsy.Method We analyzed three SSMA epilepsy patients.Their long-term video EEG monitoring and MRI were investigated.The one was confirmed by the intracranial electrode EEG that epiuptogenic zone was in SSMA(case1),The two(Case 2、Case3)showed SSMA lesions on the head MR.Results Three patients had bilateral asymmetric tonic seizures,an abrupt onset of tonic posturing maintained for 10 s to 20s.EEG findings were usually not evaluated.Conclusion SSMA is activated for language,sensory and motor function.SMA syndrome occurring after surgery can be partially or fully restored.

关 键 词：非对称性强直 致痫区 辅助感觉运动区 

分 类 号：R742.1[医药卫生—神经病学与精神病学]