실명성 간질중첩증 l례
A Case of Status Epilepticus Amauroticus
이연효, 김남곤, 권오영, 박기종, 최낙천, 임병훈,
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이연효 ( Lee Yeon-Hyo )
경상대학교 의과대학 신경과학교실
김남곤 ( Kim Nam-Gon )
김해 중앙병원 신경과
권오영 ( Kwon Oh-Young )
경상대학교 의과대학 신경과학교실
박기종 ( Park Ki-Jong )
경상대학교 의과대학 신경과학교실
최낙천 ( Choi Nack-Cheon )
경상대학교 의과대학 신경과학교실
임병훈 ( Lim Byeong-Hoon )
경상대학교 의과대학 신경과학교실
KMID : 0877220010050010075
Abstract
Ictal blindness is a deficient symptomatology of partial seizure arising from visual cortex and usually short lived. When the blindness is the initial semiology of seizures, epileptic discharge arising from the primary visual cortex is associated. Ictal blindness has been reported in many patients with occipital lobe epilepsy, but prolonged ictal blindness called status epilepticus amauroticus has been reported only in few patients. We report a 45-year-old woman who had suffered prolonged epileptic blindness. The epileptic blindness was accompanied with rapid eyelid blinking and upward turning of head and eyeballs. Motor seizure and mental changes were not occurred. Ictal EEG showed 11-13 Hz repetitive spikes on the right occipital area followed by propagation to ipsilateral temporal area and contralateral occipital area. On T2-weighted MRI, abnormal lesions with high signal intensity were noted within bilateral occipital areas. She had been improved dramatically by loading dose of intravenous phenytoin.
키워드
간질성 실명; 실명성 간질중첩증; 후두엽 간질; 발작중 두피뇌파
Ictal blindness; Status epilepticus amauroticus; Occipital lobe epilepsy; Ictal EE
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