摘要
Abstract
Objective To explore the pathogen ,clinical and electroencephalographic characteristics and cognitive function analysis at seizure stage of temporal lobe epilepsy.Methods The clinical features ,EEG and neurological imaging science and cognitive function were of 62 temporal lobe epilepsy patients were retrospectively analyzed.Results In 62 patients ,38 patients were generalized tonic-clonic seizures (GTCS) ,52 patients were complex partial seizures (CPS) ,and 15 cases were simple par-tial seizures (SPS).A total of 19 clinical seizures were discovered by conventional EEG and EEG after sleep deprivation.The EEG of all patients showed unilateral or bilateral temporal lobe spikes ,spike and wave ,sharp waves ,sharp slow release except 13 patients.35 cases were positive in 40 sphenoid electrodes patients.EEG showed 38 cases were normal under normal waking state.43 cases were observed epileptiform discharges by sphenoid electrodes at a sleep state.Neural imaging studies showed ,29 cases were abnormal ,accounting for 46.8 percent ,including vascular malformations ,tumors ,hippocampal sclerosis and dys-plasia ,arachnoid cyst ,temporal lobe atrophy ,varying amounts.The intelligence of 21 children patients were normal ,with the rate of 53.84%.And the intelligence of 19 adult patients were normal in 23 cases ,with the rate of 82.61%.Conclusion EEG combined sphenoid electrodes examination in sleeping can be effectively applied to the sphenoid temporal lobe epilepsy positio-ning ,with neurological examination and clinical characteristics of radiographic analysis can help early detection and early treat-ment.关键词
癫痫/颞叶/脑电图/认知功能Key words
Epilepsy/Temporal lobe/Electroencephalogram/Cognitive function分类
医药卫生
