局灶性、全身性癫痫还是两者兼有？

IF 2.4 Q2 CLINICAL NEUROLOGY

PRACTICAL NEUROLOGY Pub Date : 2024-11-05 DOI:10.1136/pn-2024-004290

Aidan Neligan, Umesh Vivekananda, Josemir W Sander

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引用次数: 0

摘要

一名 29 岁的女性因目睹抽搐而就诊，其症状与局灶性至双侧强直阵挛发作一致。常规脑电图支持特发性全身性癫痫伴光敏感性的综合诊断。我们讨论了癫痫发作半身像的临床实用性，强调了过度依赖或仅依赖发作半身像可能会导致全身性癫痫患者被误诊为局灶性癫痫的注意事项。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Focal, generalised epilepsy or both?

A 29-year-old woman presented with a witnessed convulsion, with semiology consistent with a focal-to-bilateral tonic-clonic seizure. Routine EEG supported a syndromic diagnosis of idiopathic generalised epilepsy with photosensitivity. We discuss the clinical utility of seizure semiology, highlighting the caveat that over-reliance or sole reliance on the ictal semiology may result in an erroneous diagnosis of focal epilepsy in someone with a generalised epilepsy.

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来源期刊

PRACTICAL NEUROLOGY Medicine-Neurology (clinical)

CiteScore

3.70

自引率

3.60%

发文量

113

期刊介绍： The essential point of Practical Neurology is that it is practical in the sense of being useful for everyone who sees neurological patients and who wants to keep up to date, and safe, in managing them. In other words this is a journal for jobbing neurologists - which most of us are for at least part of our time - who plough through the tension headaches and funny turns week in and week out. Primary research literature potentially relevant to routine clinical practice is far too much for any neurologist to read, let alone understand, critically appraise and assimilate. Therefore, if research is to influence clinical practice appropriately and quickly it has to be digested and provided to neurologists in an informative and convenient way.