枕叶癫痫误诊为脑梗死、偏头痛1例
Neural Injury and Functional Reconstruction（2019）
Abstract
康健捷,杨红军,邓兵梅,等.枕叶癫痫误诊为脑梗死、偏头痛1例[J].神经损伤与功能重建, 2019, 14(6):322-324.
枕叶癫痫是一种以视觉症状为主要表现的癫痫发作,可伴有偏盲、头痛等症状.因为起源于枕叶皮质的痫性放电极易扩展到颞叶而出现愣神、自动症及植物神经症状,扩展到额叶或顶叶引起额叶或顶叶样发作,所以临床较少见到单纯的枕叶癫痫.因其临床表现复杂多样,极易被误诊为脑梗死、偏头痛、行为障碍及枕叶以外其他部位的癫痫发作.本文报道1例表现为视物模糊、发作性视幻觉伴有头痛的症状性枕叶癫痫,其癫痫病因少见,为原发免疫性血小板减少症导致枕叶皮质反复出血,现报道如下.
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