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首页> 外文期刊>Clinical EEG and neuroscience: official journal of the EEG and Clinical Neuroscience Society (ENCS) >Multimodality imaging in a depressed patient with violent behavior and temporal lobe seizures.
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Multimodality imaging in a depressed patient with violent behavior and temporal lobe seizures.

机译：抑郁症患者的暴力行为和颞叶癫痫发作的多模态成像。

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摘要

Patients suffering from epilepsy commonly experience behavioral symptoms. Behavioral manifestations are especially prevalent in patients with seizures originating in the limbic system. This case report illustrates how an objective, multimodality work-up can guide the clinician in the diagnosis and the treatment of a patient with a complex presentation. After the discontinuation of some medications, the patient underwent a multimodality work-up that consisted of MRI, SPECT, and conventional and quantitative EEG (LORETA). In this case, the functional imaging studies showed a convergence of findings across the three modalities: MRI, SPECT and qEEG. Because of these findings, we supported more aggressive treatment of the seizure disorder. Ultimately this treatment resulted in resolution of the aggression and the depression. In summary, when applied routinely, a comprehensive, systematic, diagnostic approach will minimize treatment false starts and failures, may reduce costs, and also, potentially decrease the severity and the duration of symptoms.
机译：患有癫痫病的患者通常会出现行为症状。行为表现在源自边缘系统的癫痫发作的患者中尤其普遍。该病例报告说明了客观，多模式的检查如何可以指导临床医生诊断和治疗具有复杂表现的患者。停药后，患者接受了包括MRI，SPECT，常规和定量EEG（LORETA）在内的多模式检查。在这种情况下，功能成像研究显示了三种方式的发现的融合：MRI，SPECT和qEEG。由于这些发现，我们支持更积极地治疗癫痫发作。最终，这种治疗导致了侵略和沮丧的消退。总而言之，当常规使用时，一种全面，系统的诊断方法将使治疗的错误开始和失败最小化，可以降低成本，还可能降低症状的严重程度和持续时间。

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