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首页> 外文期刊>Clinical EEG and neuroscience: official journal of the EEG and Clinical Neuroscience Society (ENCS) >Lacrimation as an Ictal Autonomic Event in a Patient With Seizures Originating From the Right Hemisphere
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Lacrimation as an Ictal Autonomic Event in a Patient With Seizures Originating From the Right Hemisphere

机译：流泪是右半球性癫痫发作患者的自主性自主事件

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摘要

In dacrystic seizures lacrimation has previously been reported as an ictal autonomic event accompanying emotional and somatic signs. However, it has not been observed as an isolated event in autonomic seizures. We report a patient experiencing complex partial seizures characterized by lacrimation as the initial and most prominent ictal event, with no sign of crying. The patient's ictal electroencephalogram (EEG) suggested a focus in the right hemisphere, along with interictal single-photon emission computed tomographic (SPECT) and positron emission tomographic (PET) studies demonstrating hypoperfusion-hypometabolism in the right temporoparietal lobe. Magnetic resonance imaging (MRI) did not show any structural abnormalities. Involvement of the temporal lobe has been suggested for dacrystic seizures, and both dominant and nondominant hemispheric foci were detected in such cases. Therefore, partially in concordance with previous reports, our case may point to neurobiologic interaction, between the temporoparietal region and the hypothalamus, for mediating lacrimation.
机译：在泪液性癫痫发作中，流泪是先前报道的伴随情绪和躯体体征的发作性自主神经事件。然而，尚未发现它是自主性癫痫发作中的孤立事件。我们报道一名患者经历了复杂的部分性发作，其特征为流泪为最初和最突出的发作事件，没有哭泣的迹象。患者的脑电图脑电图（EEG）提示了右半球的重点，以及间质性单光子发射计算机断层扫描（SPECT）和正电子发射断层扫描（PET）研究证明了右侧颞叶的低灌注-低代谢。磁共振成像（MRI）未显示任何结构异常。颞叶累及已被认为可引起乳突性癫痫发作，在这种情况下可检测到显性和非显性半球灶。因此，部分与先前的报道相符，我们的病例可能涉及颞顶区和下丘脑之间的神经生物学相互作用，以介导流泪。

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