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복잡한 사고에 의해 유발되는 간질발작 2예 : Two Patients with Epilepsy Induced by Complex Thinking
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김재문 | - |
dc.contributor.author | 이경목 | - |
dc.contributor.author | 손은희 | - |
dc.contributor.author | 정기영 | - |
dc.creator | 정기영 | - |
dc.date.accessioned | 2014-05-22T04:58:32Z | - |
dc.date.available | 2014-05-22T04:58:32Z | - |
dc.date.issued | 2000-01 | - |
dc.identifier.citation | 대한임상신경생리학회지, Vol.2 No.1, pp. 27-30 | - |
dc.identifier.uri | https://hdl.handle.net/10371/91862 | - |
dc.description.abstract | Reflex epilepsies are distinct but not clearly understood clinical entity. Various cerebral activities induced by simple stimulation including visual, auditory, somatosensory stimulation, as well as diverse functional tasks such as reading, calculation, complex thinking are believed to be seizure-inducing factors. We experienced two patients whose seizures were readily precipitated by complex, strenuous thinking. Both patients was teen-aged boy at the onset of seizure(13, and 15 years of age each) with normal physical and mental growth. Although first seizure was precipitated by watching TV and playing puzzles in each patient, initial diagnosis was idiopathic generalized epilepsy, possibly juvenile myoclonic epilepsy(JME). For the first few years, seizures were infrequent but mostly precipitated by the tasks needs concentration such as playing computer games, decision-making, mathematics, reading, or during the examination. EEG revealed various thinking process including reading hard books, drawing complex figure, complex calculation induced epileptic discharges even if it usually needs certain period of concentration. Phenytoin, valproic acid, clonazepam, vigabatrin, and lamotrigine sometimes abated their seizures but none of these made them seizure-free. Complex reflex epilepsy induced by thinking was proposed to be a separate type of epilepsy or a variant of JME. Age, sex, stereotypic seizure-inducing factors, clinical course, and refractory epilepsies in these patients highly suggested this type of epilepsy as a variant of JME but its refractoriness and unique provocation still needs more speculation. | - |
dc.language.iso | en | en |
dc.publisher | 대한임상신경생리학회 | en |
dc.subject | 의약학 | en |
dc.subject | Reflex epilepsy | - |
dc.subject | Complex thinking | - |
dc.subject | Juvenile myoclonic epilepsy | - |
dc.title | 복잡한 사고에 의해 유발되는 간질발작 2예 | en |
dc.title.alternative | Two Patients with Epilepsy Induced by Complex Thinking | - |
dc.type | Article | - |
dc.description.srnd | OAIID:oai:osos.snu.ac.kr:snu2000-01/102/2014017262/4 | - |
dc.description.srnd | SEQ:4 | - |
dc.description.srnd | PERF_CD:SNU2000-01 | - |
dc.description.srnd | EVAL_ITEM_CD:102 | - |
dc.description.srnd | USER_ID:2014017262 | - |
dc.description.srnd | ADJUST_YN:N | - |
dc.description.srnd | EMP_ID:A079623 | - |
dc.description.srnd | DEPT_CD:801 | - |
dc.description.srnd | CITE_RATE:0 | - |
dc.description.srnd | DEPT_NM:의학과 | - |
dc.description.srnd | SCOPUS_YN:N | - |
dc.description.srnd | CONFIRM:Y | - |
dc.identifier.srnd | 2000-01/102/2014017262/4 | - |
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