Electro-clinical aspects of epilepsy with eye closure sensitivity
10.3760/cma.j.issn.1006-7876.2019.04.012
- VernacularTitle:合眼敏感相关癫痫的电-临床研究
- Author:
Chenxi SHEN
1
;
Ruize MA
;
Beibei CHEN
;
Wenjuan ZHANG
;
Xiaoli WANG
;
Yonghong LIU
Author Information
1. 空军军医大学西京医院神经内科脑电监测中心
- Keywords:
Epilepsy;
Eye closure sensitivity;
Photosensitivity;
Video-electroencephalography;
Antiepileptic drugs
- From:
Chinese Journal of Neurology
2019;52(4):321-326
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the electro-clinical features of epilepsy with eye closure sensitivity (ECS).Methods The electroencephalograph database was searched using ECS during half a year period from January to June 2017 in Xijing Hospital.The duration of the follow-up was one year.Results Fifty-one patients diagnosed as epilepsy with ECS were investigated.Patients were classified into four epilepsy syndromes:33 with eyelid myoclonia with absences (EMA);13 with juvenile myoclonia epilepsy (JME);two with epilepsy with generalized tonic-clonic seizure on awakening and three with idiopathic occipital lobe epilepsy (IOE).The duration of the epileptiform discharges (EDs) triggered by eye closure (ECL) lasted more than five seconds in four patients with EMA and one patient with IOE.The EDs triggered by ECL were more frequent (85.2± 11.4 vs 37.5± 12.6,t=12.399,P=0.000) and lasting longer ((4.3± 1.9) s vs (2.3±0.8) s,t=3.585,P=0.001) in EMA than in JME.Conclusions ECS is common in EMA.The frequency and duration of the EDs triggered by ECL are helpful for identifying EMA and JME.
