浅析癫痫的全面性发作.doc

Analysis on the comprehensive epilepsy seizures（浅析癫痫的全面性发作）Generalized seizures of epilepsy. With the depth of epilepsy research, the more types of attack known change in classification of the seizures. However, the International League Against Epilepsy (ILAE) in 1981, the development of the program of the International Classification of epileptic seizures is still widely accepted.癫痫的全面性发作。随着对癫痫研究的深入，更多的发作类型被认识，癫痫发作的分类方法有所变更。然而，1981年国际抗癫痫联盟（ILAE）发展的癫痫发作的国际分类方案仍然被广泛接受。In the program, according to the clinical onset of symptoms and EEG seizures are divided into two categories: partial seizures and generalized seizures. Partial seizures of a focal area began in the cerebral cortex, and generalized seizures synchronicity began in the bilateral cerebral hemispheres. Some episodes are nondescript any one of those listed as unclassified seizures.该方案中，根据临床发作症状和脑电图情况将癫痫发作分为2大类：部分性发作和全面性发作。部分性发作开始于脑皮层的某个局灶性区域，而全面性发作同步性开始于双侧大脑半球。有些发作难以归类任何之一者则列为无法分类的发作。Generalized seizures of epilepsy is divided into six main types: (1) absence seizures; (2) of tonic seizures; (3) clonic seizures; (4) myoclonic seizures; (5) primary generalized tonic - arrayThe twin attack; (6) atonic seizures.癫痫的全面性发作分为6种主要类型：（1）失神发作；（2）强直发作；（3）阵挛发作；（4）肌阵挛发作；（5）原发性全面性强直-阵挛发作；（6）失张力发作。Absence seizures manifested as a short-term disturbance of consciousness, without warning and after the onset of insanity status, duration less than 20 seconds, with little or no automatism, such as: repeated blink. Hyperventilation or photic stimulation usually induced seizures. The incidence of childhood or adolescence and can continue into adulthood. Typical ictal EEG as a 3.5-Hz comprehensive spike and wave.失神发作表现为短暂的意识障碍，没有先兆和发作后精神错乱状态，持续时间不足20秒，伴有少量或没有自动症，如：反复眨眼。过度换气或光刺激通常诱发发作。儿童期或青春期发病，可以持续到成年期。典型发作期EEG为35-Hz全面性棘慢波。Myoclonic seizures showed a short fast twitch movement, no more than 1 seconds. Usually clusters seizures. Myoclonus is not always epileptic myoclonus example, I sleep stage for the normal release of the phenomenon. Typical ictal EEG including the fast spike and wave.肌阵挛发作表现为短暂快速抽动运动，不超过1秒。通常成簇发作。肌阵挛并非总是癫痫性，例如，I期睡眠中的肌阵挛为正常的释放现象。典型的发作期EEG包括快的多棘慢波。Clonic seizures showed rhythmic motion tics with or without disturbance of consciousness, clonic seizures can be focal origin, with or without disturbance of consciousness, focal seizures are classified as simple or complex partial seizures. The typical comprehensive clonic seizures bilateral upper and lower extremities simultaneously involved. The ictal EEG bilateral rhythm epileptic discharge.阵挛发作表现为节律性、运动性抽动伴或不伴意识障碍，阵挛发作可以是局灶性起源，伴或不伴意识障碍，局灶性发作归类为简单或复杂部分性发作。典型全面性阵挛发作双侧上下肢同时受累。发作期EEG双侧节律性癫痫样放电。The tonic seizures performance to the head, trunk and / or limbs suddenly tonic stretch or bend and maintain a few seconds. Close with sleepiness, sleep attacks, or shortly after you wake up is often accompanied by other neurological abnormalities. Ictal EEG showed electrical inhibition of the reaction (ie,: beta band high-frequency discharge, the also called betabuzz) volatility lower than the background rhythm can progress is slow spike and wave or diffuse spikes.强直发作表现为头、躯干和/或肢体突然的强直伸展或屈曲并维持数秒。与困倦关系密切，入睡不久或醒后发作，常伴有其他神经系统异常。发作期EEG表现为电抑制反应（即：频段的高频放电，也叫做“betabuzz”），波幅低于背景节律，可以进展为慢的棘慢波或弥漫性多棘波。Tonic - clonic seizures are often called grand mal. Performance for the behavior of several sports, including limb generalized tonic stretch a few seconds, followed by clonic rhythmic movement and long after the onset of insanity state, lack of aura. The ictal EEG manifested as comprehensive (bilateral) spikes or spike and wave mixing, frontal volatility increase.强直-阵挛发作常被叫做大发作。表现为几种运动行为，包括肢体的全身性强直伸展持续数秒，继之阵挛性节律运动和长时间的发作后精神错乱状态，缺乏先兆。发作期EEG表现为全面性（双侧）棘波或多棘慢波的混合，额区波幅增加。The atonic seizures seen in significantly abnormal neuro