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目的:探讨额叶癫癎发作的临床表现与脑电图特征。方法:对36例额叶癫癎发作患者临床表现及脑电图特征进行同步分析。结果:额叶癫癎发作频繁而短暂,以睡眠中发作为主。常见发作形式为复杂部分性发作,主要表现为过度运动、偏转性强直、姿势性强直、发声及重复语言、额叶失神等。常规脑电图检查阳性率30.6%,长时间视频监测阳性率91.7%。结论:额叶癫癎发作是一组以运动症状为主的癫癎综合征,临床表现复杂多样,长程视频监测为无创性诊断额叶癫癎发作最佳方法。
Objective: To investigate the clinical manifestations and EEG features of frontal lobe epileptic seizures. Methods: The clinical manifestations and EEG features of 36 patients with frontal epileptic seizures were analyzed simultaneously. Results: Epileptic frontal epilepsy seizures frequent and brief, onset of sleep-based. Common seizures in the form of complex partial seizures, mainly for over-exercise, ankylosis, posture rigidity, vocal and repetitive language, frontal absence. The positive rate of routine electroencephalography was 30.6%, and the positive rate of long-time video surveillance was 91.7%. Conclusion: Frontal lobe epilepsy is a group of motor symptoms of epilepsy syndrome, the clinical manifestations of complex and diverse, long-range video monitoring for non-invasive diagnosis of frontal lobe epileptic seizures the best way.