颞叶癫(癎)的临床特征和脑电图分析

目的分析和总结颞叶癫癎的临床、脑电图特征。方法对2004年6月至2006年1月于首都医科大学北京天坛医院癫癎中心门诊和病房确诊为颞叶癫癎的145例患者的临床、脑电图和神经影像学资料进行分析。结果患者的发作类型包括简单和复杂部分性发作以及全面强直阵挛发作,以复杂部分性发作最常见。病因分析显示,45例病灶性颞叶癫癎的病因依次为脑血管病、颅内感染、脑外伤等,100例非病灶性颞叶癫癎中,海马硬化29例。脑电图显示颞区癫癎样放电。结论颞叶癫癎是一组临床常见、病因复杂、表现多样的癫癎综合征。正确诊断、规范化治疗是提高其疗效的关键。

The study on clinical and electroencephalographic characteristics of temporal lobe epilepsy

Objective To analyse the clincal and electroencephalographic characteristics of temporal lobe epilepsy(TLE).Methods Totally 145 patinets with TLE were included in our study.The clinical data,electroencephalographic and neuroimaging investigations were described in detail.Results The kinds of temporal lobe seizures included simple partial,complex partial and generalized tonic clonic.Complex partial seizure was the most common one.The main etiological factors related to 45 patients with lesional TLE were cerebrovascular disease,intracranial infection and trauma etc.Twenty-nine patients had hippocampal sclerosis in the non-lesional TLE group.The electroencephalography recording for TLE showed the presence of interictal epileptic paroxysms discharges over the temporal areas.Conclusion TLE is a syndrome with a variety of clinical manifestations and etiology.Comprehensive diagnosis and therapy are crucial in clinical practice.