周期性打哈欠:在叶中,这是一个潜在的横向标志
Xiaoping Du1,2, Yi Yao3, Jiani Chen4
1Department of Neurology, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Epilepsia open
|November 11, 2024
概括
间歇性打哈欠 (PY) 在叶 (TLE) 中不常见,但可能表明活动,特别是在非主导性TLE中. 这种罕见的症状可以在发作晚期或发作后出现,可能有助于横向化.
科学领域:
- 的研究研究.
- 临床神经学 临床神经学
- 神经生理学 神经生理学
背景情况:
- 周期性哈欠 (PY) 是焦点的一个罕见的表现.
- 它作为叶 (TLE) 的临床指标的作用尚未得到充分证实.
- 了解PY可能会提供关于发作半义和侧面化的见解.
研究的目的:
- 为了确定叶 (TLE) 患者的周周哈欠 (PY) 的发生率.
- 为了评估PY的横向化值作为潜在的发作发作指标.
- 分析与TLE中PY相关的临床特征和症隐义学.
主要方法:
- 对236名连续TLE患者进行视频EEG监测后期分析.
- 包括临床数据,头皮视频EEG,MRI,FDG-PET,Wada测试和SEEG,如果有.
- 详细检查与PY相关的发作,包括时间和患者特征.
主要成果:
- PY发生在11.0%的TLE患者和3.5%的记录的发作中.
- 在非主导的TLE中,PY更为频繁 (73.1%),通常发生在晚期ictal或 postictal阶段.
- 75%的接受手术的患者实现了无发作,非主导性TLE的发作率更高.
结论:
- 周期性哈欠是TLE中不常见但潜在的重要迹象,特别是在非主导病例中.
- PY可以作为一种罕见的植物性征兆和发作的潜在横向标记.
- 需要对更大的队列和内EEG进行进一步的研究来证实这些发现.
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