没有的状态,具有普遍的尖和波放电:病理生理学和鼻科学的考虑
Madison C Wolf1, Kristen S Butner1, Elizabeth B Brinkley2
1Electrodiagnostic Technology, LCMC Health, New Orleans, USA.
在EEG上发生的通用尖峰和波放电 (GSWDs) 不仅仅是异常性通用. 这些EEG图案可以在患有焦点或没有先前史的患者中表明非性状态 (NCSE).
科学领域:
- 神经学 神经学
- 发病学 (Epileptology) 是一个专业的学科.
- 临床神经生理学 临床神经生理学
背景情况:
- 缺席状态 (ASE),一种常见的状态形式在异常性泛性 (IGE) 中,其特点是EEG上的泛性尖峰和波放电 (GSWDs).
- 从历史上看,GSWD被认为是IGE的特征,但最近的观察表明它们存在于其他类型的中,甚至在非患者中.
研究的目的:
- 在典型IGE人群以外的患者中报告与GSWD一起的非性状态 (NCSE) 病例.
- 挑战发作分类中的传统的焦点对一般化范式.
主要方法:
- 一系列病例报告了三名NCSE患者表现出GSWDs.
- 临床和脑电图 (EEG) 数据分析.
主要成果:
- 一名患有青少年缺席的患者呈现了ASE.
- 一名患有无氧性脑损伤的患者发生了NCSE与IGE类GSWDs.
- 一名患有前额叶的患者进行了焦点NCSE,意识受损.
结论:
- 患有GSWD和意识受损的NCSE可以表现为患有泛性,焦点和没有先前的患者.
- 病理生理学通常涉及焦点和通用元素,需要超越严格的焦点与通用分类.
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