关键词: Temporal lobe epilepsy case report chronic refractory vertigo epileptic vertigo and dizziness ictal vertigo sphenoid electroencephalography

Mesh : Humans Female Epilepsy, Temporal Lobe / complications diagnosis Dizziness Vertigo / complications diagnosis Seizures / complications diagnosis Electroencephalography

来  源:   DOI:10.1177/03000605231187801   PDF(Pubmed)

Abstract:
Temporal lobe epilepsy is the most common focal epilepsy syndrome and has a broad spectrum of presentations. Nevertheless, isolated vestibular symptoms without other symptoms typical of temporal lobe seizures are relatively rare. Here, we report one female patient who suffered from chronic refractory vertigo and had inappropriate pharmacotherapy for several years. Eventually, epileptic vertigo and dizziness (ictal vertigo) were accurately diagnosed by detailed history taking and serial examinations assisted by sphenoid electroencephalography. Awareness of this unique syndrome is important in the diagnosis of patients with epileptic vertigo and dizziness.
摘要:
颞叶癫痫是最常见的局灶性癫痫综合征,表现广泛。然而,没有其他典型症状的颞叶癫痫发作的孤立性前庭症状相对罕见。这里,我们报告了1例女性患者,她患有慢性难治性眩晕,并接受了不适当的药物治疗。最终,通过详细的病史记录和蝶骨脑电图辅助的连续检查,可以准确诊断出癫痫性眩晕和头晕(发作性眩晕)。对这种独特综合征的认识在癫痫性眩晕和头晕患者的诊断中很重要。
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