虽然有许多报告提到精神发作(癔病发作)可伴有/或不伴有癫痫发作,但仅 Cohen 及其同事详细研究了癔病发作患者中癫痫的发生率。为此,作者采用延长 EEG 描记时间(3小时至12天),暗示诱发癔病发作时作 EEG 描记、描记前睡眠剥夺,睡眠中描记以及采用鼻咽电极等特殊方法,对50例典型癔病发作患者进行了研究。结果发现仅5例(10%)EEG 上有痫样放电。另发现 EEG 正常者,减量抗癫药后发作次数不增加,而 EEG 上有痫样放电者,则减量抗癫痫药后发作次数均有增加。此外,EEG 正常中的34例均由暗示诱发了癔病发作,且发作典型与以往无异。随访19例,在接受精神治疗的10例中,6例发作停止,2例偶有发作,2例发作同前,9例未接受心理治疗者,2例发作停止,9例偶有发作,4例发作同前,但二组患者的发作控制率无明显差异(X~2=0.42)。 Although there are many reports that mental attacks (hysterics) may or may not be associated with seizures, only Cohen and colleagues examined in detail the incidence of epilepsy in patients with hysteria. To this end, the authors used to extend the EEG description of time (3 hours to 12 days), suggesting that the onset of hysteria for EEG, pre-stroke sleep deprivation, sleep tracing and the use of nasopharyngeal electrodes and other special methods, 50 cases of typical hysteria attack patients Were studied. It was found that only 5 (10%) EEG epileptiform discharges. Also found that normal EEG, episodes of anti-epileptic drugs did not increase the number of seizures, and epileptiform discharges on EEG, the amount of anti-seizure drugs after the reduction in the number of attacks have increased. In addition, 34 cases of normal EEG were prompted by hints of hysteria, and the typical episode is no different from the past. Of the 19 patients who received psychotherapy, 6 were stopped, 2 were occasional, 2 were same as before, 9 were not psychologically treated, 2 were stopped, 9 were occasional and 4 Cases of the same onset, but the two groups of patients with no significant difference in the rate of control (X ~ 2 = 0.42).