双边托德在一个患有左前骨性的患者身上
Daniela Santos Oliveira1, Helena Rocha2, Duarte Vieira3
1Neurology Department, Unidade Local de Saúde Entre Douro e Vouga, Santa Maria da Feira, Portugal.
Epileptic disorders : international epilepsy journal with videotape
|September 10, 2024
概括
在患有焦点的患者中观察到双边后点,这是后的罕见情况. 这种病例突出显示了左侧前-骨发作发作,导致两只手臂的软弱.
科学领域:
- 神经学 神经学
- 发病学 (Epileptology) 是一个专业的学科.
- 神经生理学 神经生理学
背景情况:
- 后性 (托德) 通常在焦点或双边强力-克隆性发作后表现为单边运动弱.
- 双边后性很少见,诊断可能具有挑战性,特别是如果没有观察到发作阶段.
研究的目的:
- 描述一个罕见的双边后点的病例,该病例发生在患有耐火焦点的患者身上.
- 调查这种罕见表现的神经生理基础和手术治疗方法.
主要方法:
- 视频电脑图 (EEG) 监测用于手术前评估.
- 磁共振成像 (MRI) 和氧葡萄糖正子发射断层扫描 计算机断层扫描 (FDG-PET-CT) 用于病变定位.
- 在外科手术中使用心电图 (ECoG) 和病变切除术.
主要成果:
- 患者经历了夜间发作与喉光环,演变为双边强力-克隆性发作与右臂延伸.
- 术后检查显示严重的肌痛性关节炎和双边对称臂.
- 发作发作局限于左侧前眼皮区域,早期扩散到双边运动皮层.
- 组织病理学证实了2b类型的焦点皮层发育不良.
- 手术切除导致持续的发作自由.
结论:
- 这一案例表明,左侧前端-骨上角的发病与双边运动皮层的早期扩散可以导致临床上可检测的双边后角性.
- 通过先进的成像和ECoG指导的手术干预,可以有效地治疗具有罕见 postictal 缺陷的耐火焦点.
关键词:
病因学: 发育不良症 (泰勒型)位置:前额叶 (左侧)现象学:托德的,双边不对称的,正确的迹象.综合征:焦点非阴极病前部 (FLE)双边关系 托德 托德双边的直后麻痺 (双边的直后麻痺).焦点性 - 焦点性额头性 - 额头性半理学是什么意思 半理学是什么意思更多相关视频
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