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与癫痫发作相关的自主神经功能障碍是众所周知的,而系统研究却很少,其对心脏的影响常常导致诊断和治疗的错误,因此,应该进行ECG和EEG同时描记。作者报告一例癫痫发作时心率减慢的病例。 患者,36岁,右利手,无业,因无记忆的夜游查因入院。在出生后14个月时,已被诊断为癫痫并进行治疗,发作表现为右上肢疼痛9分钟后右侧半身抽搐,意识障碍,抽搐后右侧轻瘫,经用苯巴比妥和苯妥英钠联合治疗缓解。年轻时即出现逐渐加重的行为障碍导致多次犯罪。15到35岁没有进行任何正规的连续治疗。入院后全身和神经系统检查均正常。苯妥英钠及苯巴比妥二者的血药浓度均在允许范围之内。神经心理检查发现额叶功能障碍。脑部MRI检查显示,双侧皮质信号异常,以左侧额叶为明显,伴局灶性皮质萎缩。电视脑电图和心电监测记录到病人慢波睡眠时的运动性复杂部分发作,发作以头部向左转开始,接着头向右
Autonomic dysfunction associated with seizures is well known, and few systematic studies have shown that the effects on the heart often lead to errors in diagnosis and treatment. Therefore, simultaneous ECG and EEG tracing should be performed. The authors report a case of a slow heart rate during a seizure. Patient, 36 years old, right hand, unemployed, because of memoryless night visit Charlene admission. 14 months after birth, has been diagnosed with epilepsy and treatment, the seizure showed right upper limb pain 9 minutes after the right hemilefringence, disturbance of consciousness, right after convulsions paresis, with phenobarbital and phenytoin sodium Combination therapy to ease. A growing number of behavioral disorders in younger age lead to multiple crimes. Between 15 and 35 years of age there is no formal continuous treatment. After admission, the whole body and nervous system examination were normal. Phenytoin sodium and phenobarbital both plasma concentrations are within the allowable range. Neuropsychological tests found that frontal lobe dysfunction. MRI examination of the brain showed abnormal bilateral cortical signals with obvious frontal lobe and focal atrophy. TVE and ECG monitoring recorded patients with slow-wave sleep movement complex part of the seizures, the onset of the head to the left to start, then head to the right