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目的:回顾分析麻将癫痫的临床表现。方法:从1996-2003年门诊求诊的9例麻将癫癎患者临床资料,随访记录及实验室资料进行分析。结果:本组9例患者均由玩麻将诱发癫癎发作(其中2例观看别人玩麻将发作),平均发病年龄(55.22±8.2)岁。6例患者以全身强直-阵挛发作,3例部分性发作继而全身发作。6例脑电图正常,1例局限性颞叶慢波,2例额颞部间歇性慢波活动。脑影像学(头颅CT或MRI)6例正常,1例有腔隙性梗死,2例脑萎缩。9例均无癫癎阳性家族史。9例行抗癫癎药物治疗均已控制。结论:麻将癫癎是反射癫癎的一种类型,可能在玩麻将时思考、紧张、制定决策等因素诱发。麻将癫癎容易控制,除用抗癫癎药物治疗外,避免玩麻将即可预防癫癎发作。
Objective: To retrospectively analyze the clinical manifestations of malaria epilepsy. Methods: The clinical data, follow - up records and laboratory data of 9 cases of malaria epilepsy from 1996 to 2003 were analyzed. Results: All 9 patients in this study were affected by mahjong-induced epileptic seizures (2 of them were mahjong attacks). The average age of onset was 55.22 ± 8.2 years. Six patients had generalized tonic-clonic seizures and three partial seizures followed by generalized seizures. 6 cases of normal EEG, 1 cases of limited temporal lobe, 2 cases of frontotemporal intermittent slow wave activity. Brain imaging (skull CT or MRI) 6 cases of normal, 1 case of lacunar infarction, 2 cases of brain atrophy. None of the 9 patients had a positive family history of epilepsy. Nine routine antiepileptic drugs have been controlled. Conclusion: Mahjong epilepsy is a type of reflex epilepsy that may be induced when playing mahjong when thinking, nervous, making decisions and other factors. Mahjong epilepsy easy to control, in addition to anti-epileptic drug treatment, to avoid playing mahjong can prevent epileptic seizures.