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额颞叶癫痫有定位价值的发作性症状 被引量：4

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摘要 癫痫发作性症状不仅对癫痫的诊断也对确定癫痫在大脑的起源区有非常重要的意义。对手术后发作消失的病人分析其术前发作性症状与手术切除部位的关系可以确定其定侧价值。额、颞叶癫痫有定侧价值的发作性症状可分为三类:①高度定侧意义:一侧阵挛、扭转、不对称性强直姿势、一侧鬼脸、发作后轻瘫、发作终止不对称;②一般定侧意义:一侧肌张力障碍性姿势、一侧强直姿势、一侧手自动症;③定侧意义不肯定:早期头转动、一侧眨眼、发作后擦鼻子、发声。而口咽自动症、过度运动自动症、发笑、发作后咳嗽、自主神经症状等则无定侧意义。
作者 王薇薇 吴逊
机构地区 北京大学第一医院神经内科
出处 《国际神经病学神经外科学杂志》 2009年第3期256-261,共6页 Journal of International Neurology and Neurosurgery
关键词 额叶癫痫 颞叶癫痫 癫痫灶定侧
分类号 R742.1 [医药卫生—神经病学与精神病学]
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参考文献26

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同被引文献33

  • 1孙爱君,苏文聪,李树生,刘健,苏富勇,魏强,杜静波,刘杰.发作间期PET显像与发作期SPECT脑显像在小儿顽固性癫痫定位诊断中的价值[J].中国临床医学影像杂志,2006,17(2):82-84. 被引量：4
  • 2戚怡,黄绍娴.VEEG监测对癫癎的诊断及鉴别诊断的价值[J].临床神经电生理学杂志,2006,15(4):219-221. 被引量：5
  • 3John S Ebersole, Timothy A, PEDLEY. Current Practice of Clinical Electroencephalo - graphy[M]. Lippincott Williams &Wilkins, 2003 : 218- 237, 528- 545.
  • 4Jan M MS, Girvin JP. Seizure semiology: value in identifying seizure origin[J]. Can J Neurol Sci, 2008,35(1):22-30.
  • 5谭启富.癫(癎)的外科治疗//刘宗惠.实用立体定向及功能性神经外科学[M].北京:人民军医出版社,2006:476.
  • 6Guénot M,Isnard J,Ryvlin P,et al.SEE-Gguided RF thermocoagulation of epileptic foci:feasibility,safety,and preliminary results[J].Epilepsia,2004,45(11):1368-1374.
  • 7Stuart RM,Goodman RR.Novel use of a custom stereotactic frame for placement of depth electrodes for epilepsy monitoring[J].Neurosurg Focus,2008,25(3):E20.
  • 8Spire WJ,Jobst BC,Thadani VM,et al.Robotic image-guided depth electrode implantation in the evaluation of medically intractable epilepsy[J].Neurosurg Focus,2008,25(3):E19.
  • 9Guenot M,Isnard J,Ryvlin P.et al.Neurophysiological monitoring for epilepsy surgery:the Talairach SEEG method.StereoElectroEncephalo-Graphy.Indications,results,complications and therapeutic applications in a series of 100 consecutive cases[J].Stereotact Funct Neurosurg,2001,77(1-4):29-32.
  • 10Janszky J,Fogarasi A,Jokeit H,et al.Lateralizing value of unilateral motor and somatosensorymanifestation in frontal lobe seizures[J].Epilepsy Res,2001,43(1):124-133.

引证文献4

二级引证文献11

国际神经病学神经外科学杂志
2009年 第3期

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