摘要
假性颞叶癫痫发作时脑电图波型定位于颞区,且临床发作症状也类似于颞叶发作,特别是内侧颞叶发作,但癫痫源区在颞叶以外。假性颞叶癫痫诊断困难,头皮脑电图很难发现,立体脑电图可以发现癫痫源区的部位。假性颞叶癫痫几乎均为抗癫痫药难治者,而仅做颞叶切除常无效。所以,患者做癫痫源区及症状起始区切除常能获得有效的结果。
Pseudotemporal lobe epilepsy refers to an electroencephalogram(EEG)ictal pattern that is localized to the temporal region and the clinical ictal symptoms like the temporal seizure,especially mesial temporal seizure.But the epileptogenic zone is on the extratemporal regions.It is not easy to diagnose pseudotemporal lobe epilepsy.There are difficulties to detect by scalp EEG,and stereoelectroencephalography is usually required for epileptogenetic zone localization.Pseudotemporal lobe epilepsy almost is refractory for antiepileptic drugs.But the situation is illustrated by the failure of temporal lobe surgery resection alone.Therefore,the good result is often obtained after an epileptogenic zone and symptomatic zone resection.
作者
王薇薇
吴逊
Wang Weiwei;Wu Xun(Department of Neurology,Peking University First Hospital,Beijing 100034,China)
出处
《中华神经科杂志》
CAS
CSCD
北大核心
2021年第5期514-518,共5页
Chinese Journal of Neurology
关键词
癫痫
颞叶
假性颞叶癫痫
外科手术
脑电描记术
Epilepsy,temporal lobe
Pseudotemporal lobe epilepsy
Surgical procedures,operative
Electroencephalography
