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良性(孤立性)青少年局灶性发作,旧发病于10-20岁,为特发性病因,存在短期的一过性发作易感性。Benign(solitary)teenagersfocalseizures,Oldincidenceat10-20yearsofage,thereareshort-termtransientepisodessusceptibilityidiopathicetiology.流行病学资料First,theepidemiologicaldata在10-20岁,良性(孤立性)青少年局灶性发作易感,发病高峰为13-15岁。男性病例占71.2%。根据Loiseau和Louieet的研究吩,四分之一发生于12-18岁之间的局灶性发作具有良性过程(如发作为单次,或者在36小时内有高达5次的丛集发作,但没有再次发作)。良性(孤立性)青少年局灶性发作可能占在10-20岁之间有简单局灶性发作病例的7.5%"-22%-o目前,大约报道了200例良性(孤立性)青少年局灶性发作病例。10-20yearsold,benignfocalseizures(solitary)adolescentssusceptible,thepeakincidenceof13-15yearsold.Menaccountedfor71.2%ofthecases.AccordingtoofLoiseauandLouieetthiophene,aquarteroccurredinfocalseizureshaveabenignprocessbetween12-18yearsofage(ifissuedasasingle,orupto5timesaclusterseizureswithin36hours,butnotagainattack).Benign(solitary)teenagersfocalseizuresmayaccountforbetween10-20yearsoldsimplefocalseizurescases7.5%-22%-oCurrently,aboutreportsof200casesofbenignfocal(isolated)youthseizurecases.二、临床表现Second,theclinicalmanifestations良性(孤立性)青少年局灶性发作表现为单次或者丛集性的2一5次局灶性发作,主要是运动性或者感觉性发作。50%的病例有可能进展为继发性全面性强直阵挛抽搐。丛集发作多在36小时内,而之前或者之后无其他的癫疯发作。患者体格和精神状态发育正常。Benign(solitary)youthfocalseizuresshowedsingleorclusterof5focalseizure,movementorfeelingattack.50%ofcasesmayprogresstosecondarygeneralizedtonicclonicconvulsions.Clusterattackmoreinthe36hoursbeforeorafterotherepilepticseizures.Thenormaldevelopmentofthepatient'sphysicalandmentalstate.根据定义,良性(孤立性)青少年局灶性发作的发作为局灶性,但是很少为R叶发作。大多数在白天清醒时发作(87%)e最常见的临床症状是运动性发作,通常不伴)ecksonian形式的扩散方式何不伴躯体感觉发作。根据报道,在五分之一的病例中,可以观察到视觉性、眩晕性以及白主神经症状,从未观察到预叶癫病中常见的体验性发作现象。发作开始时,患者意识完好,然而,在整个发作过程中,意识很少能一直保持完好,发作通常进展到认知损害,或在50%的病例进展至继发性CTCS。Bydefinition,benign(solitary)youthfocalseizureshairasfocal,butrarelyattackisRleaves.Mostawakeduringthedaywhentheattack(87%)eofthemostcommonclinicalsymptomsmovementseizuresusuallynotaccompanied)ecksonianformdiffusionwhynotassociatedwithsomatosensoryseizures.Reportedinthefifthcases,canbeobservedvisually,dizziness,andwhiteprimaryneurologicalsymptoms,hasneverbeenobservedtothecommonpre-leafepile