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首页> 外文期刊>The Internet Journal of Neurology >Nocturnal Panic Attacks Mistaken For Frontal Lobe Epilepsy
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Nocturnal Panic Attacks Mistaken For Frontal Lobe Epilepsy

机译:夜间惊恐发作误诊为额叶癫痫

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Panic attacks are a frequent non-epileptic seizure (pseudoseizure) presentation in the epileptic population. At times they may be misdiagnosed as a new seizure phenomena in an otherwise well controlled seizure patient and an erroneous decision to treat them might be made 1,2. This exposes the patient to unwarranted drug side-effects which may be potentially life-threatening. This is even more important when considering the vulnerable population of epileptic pregnant women. We present here a 33-year-old pregnant woman with a long standing history of “seizures” who presented for evaluation of nocturnal episodes of sudden awakening with a gagging sensation followed by arm and body jerks. Video-electroencephalography (Video-EEG) rightly characterized these episodes as nocturnal panic attacks. The overlap between nocturnal panic attacks and frontal lobe seizures is discussed.
机译:惊恐发作是癫痫患者中经常出现的非癫痫性发作(假性癫痫发作)。有时,他们可能会被误诊为原本控制良好的癫痫发作患者中的一种新的癫痫发作现象,并且可能会做出1,2的错误决定。这使患者面临不必要的药物副作用,这可能会危及生命。当考虑癫痫孕妇的脆弱人群时,这一点甚至更为重要。我们在这里介绍了一位具有“癫痫病”悠久历史的33岁孕妇,她的目的是评估夜间惊醒的夜间发作,并伴有咯咯的感觉,然后是手臂和身体的抽搐。视频脑电图(Video-EEG)将这些发作正确地描述为夜间惊恐发作。讨论了夜间惊恐发作和额叶癫痫发作的重叠。

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