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find Keyword "癫痫发作类型" 2 results
  • Analysis of autoimmune encephalitis seizure types and EEG characteristics

    ObjectiveThe purpose of this study was to investigate the autoimmune encephalitis (AE) seizure types and EEG characteristics and the value of diagnosis. MethodsFifteen AE patients were hospitalized in the Department of Neurology at the First Hospital of Jilin University from November 2012 to July 2014. Data from their clinical manifestations, seizure types, EEG characteristics and laboratory investigation were analyzed. ResultA total of 15 patients, 5 males and 10 females, aged 19-75 years were included. Eight cases of anti-NMDA receptor encephalitis, five cases of LGI1 receptor encephalitis and two cases of anti-Hu antibody encephalitis were diagnosed clinically.①Anti-NMDA receptor encephalitis:seven patients had seizures, which inclued complex partial seizure, generalized tonic-clonic seizure, simple partial seizure and status epilepticus.Three patients had extreme delta brush.②LGI1 receptor encephalitis:two cases had seizures, while four cases with FBDS. Sharp and slow waves with irregular delta waves appeared in bilateral temporal areas in EEG of three cases, while one case showed clinical seizure. Two cases detected "limb shaking and others" attack, but the corresponding EEG showed no abnormalities.③Anti-Hu antibody encephalitis:one case showed seizures, the EEG showed a lot of sharp and slow waves with irregular delta waves in bilateral temporal areas, while one case showed sharp and slow waves. ConclusionAnti-NMDA receptor encephalitis can present with various types of seizures and non-convulsive status epilepticus, interictal extreme delta brush is more specific. It has important value. LGI1 receptor encephalitis is characterized by FBDS, it has important clinical significance.Anti-Hu antibody encephalitis lesions diffuse distribution, clinical manifestations are different. It may be associated with seizures, seizure types are not-specific.It may have slow waves or sharp and slow waves.

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  • 2016年国际抗癫痫联盟癫痫发作分类的更新及介绍

    国际抗癫痫联盟(ILAE)提出了癫痫发作类型的操作性修订方案。此修订的目的包括认识到一些发作类型既可以是局灶起源亦可以为全面起源, 允许临床在不能观察到发作起源的情况下进行发作分类, 纳入某些尚不了解的发作类型, 以及采用更加易懂的命名。由于现有知识不足以形成一个科学的分类方案, 2016年的分类方案是在1981年和2010年分类的基础上进行的操作性(实用性)修订。新分类的变化包括: ① "部分性"改为"局灶性"; ②起源未知的癫痫发作也可以归类; ③知觉状态用作局灶性发作的区分因素; ④删除"认知障碍性"、"简单部分性"、"复杂部分性"、"精神性"、"继发全面性"等术语; ⑤认识到局灶性强直、阵挛、失张力、肌阵挛和癫痫性痉挛发作, 这些发作也有双侧性类型; ⑥增加了新的全面性发作类型:伴眼睑肌阵挛的失神发作, 肌阵挛失神发作, 肌阵挛-失张力发作, 阵挛-强直-阵挛发作, 癫痫性痉挛; 癫痫性痉挛可以是局灶性、全面性或起源不明性; ⑦双侧强直阵挛发作取代了继发全面性发作。新的分类方案并未进行根本性的改变, 但可以使癫痫发作类型的命名有较大的灵活性和透明度。

    Release date:2017-01-22 09:09 Export PDF Favorites Scan
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