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单凭临床病史常能疑及或诊断颞叶癫痫,但籍之定侧则困难。颞叶性发作患者之神经系检查常为正常。以往,有人提到有面部不对称的出现。本文共研究了50例颞叶癫痫而面部是否有不对称的患者,全部病例有明确的起自颞叶的癫痫脑电活动。患者分单侧及双侧颞叶灶两组。全部在同样条件下摄静息、露齿及发笑时正面坐位像各一张,依口角下降、侧移及鼻唇襞之变平程度分轻度、中度和显著三级。25名健康人作为对照。结果:单侧颞叶癫痫灶患者37例中,27例(73％)有轻度至显著程度的对侧面下部肌无力;5例(13％)面肌无力位于同侧,其中4例属轻度;另5例(13％)
Clinical symptoms alone can often suspect or diagnosis of temporal lobe epilepsy, but the nationality of the set side is difficult. Neurological examination of patients with temporal lobe seizures often normal. In the past, some people mentioned the emergence of facial asymmetry. In this paper, a total of 50 cases of temporal lobe epilepsy and facial asymmetry patients, all cases have a clear epileptic EEG activity from the temporal lobe. Patients were divided into unilateral and bilateral temporal lobe two groups. All in the same conditions, rest, toothy and laugh when the front seats like each one, depending on the mouth down, lateral movement and the degree of flattening of the nasal lip 分 mild, moderate and significant level. Twenty-five healthy people served as controls. RESULTS: Of the 37 patients with unilateral temporal lobe epileptic foci, 27 (73%) had mild to significant lower lateral weakness; 5 (13%) were weak in the same side, of which 4 were mild Degrees; the other 5 cases (13%)