주기편측간질모양방전은 발작현상으로서 항경련제 치료가 필요하다
Periodic Lateralized Epileptiform Discharges Are lctal Phenomena, and Need an Antiepileptic Treatment
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Periodic lateralized epileptiform discharges (PLEDs) had been debated whether it is ictal or non-ictal phenomenon. As most of PLEDs occur in patients with acute structural lesions, some epileptologists prefer PLEDS as a non-ictal phenomenon,rather an obscure epiphenomenon of etiological diseases. But, almost half of the patients with PLEDs do not have acute structural lesions in the brain and metabolic disorders or old CNS lesions may cause PLEDs and even more, no brain lesion was identified in some patients. There are many data supporting PLEDs as ictal phenomena. Occurrence of PLEDs usually accompanied by decreased mentality and is improved as PLEDs disappeared. Current SPECT study showed marked hyperperfusion in the lesion side of PLEDs, that is striking evidence of PLEDs as ictal phenomena. Also careful review of EEG with PLEDs revealed it is a dynamic process rather than a static state. Despite of these evidences, as PLEDs are an end-stage of animal status epilepticus models, it may be a transition of ictal to interictal state.
Abstract
Periodic lateralized epileptiform discharges (PLEDs) had been debated whether it is ictal or non-ictal phenomenon. As most of PLEDs occur in patients with acute structural lesions, some epileptologists prefer PLEDS as a non-ictal phenomenon,rather an obscure epiphenomenon of etiological diseases. But, almost half of the patients with PLEDs do not have acute structural lesions in the brain and metabolic disorders or old CNS lesions may cause PLEDs and even more, no brain lesion was identified in some patients. There are many data supporting PLEDs as ictal phenomena. Occurrence of PLEDs usually accompanied by decreased mentality and is improved as PLEDs disappeared. Current SPECT study showed marked hyperperfusion in the lesion side of PLEDs, that is striking evidence of PLEDs as ictal phenomena. Also careful review of EEG with PLEDs revealed it is a dynamic process rather than a static state. Despite of these evidences, as PLEDs are an end-stage of animal status epilepticus models, it may be a transition of ictal to interictal state.
참고문헌 (23)
- Chartrian GE, "The significance of PLEDs in EEG: an electrographic, clinical and pathological study", Electroencephalogr Clin Neurophysiol, 17, pp.177~193 (1964)
- Chong DJ, "Which EEG patterns warrant treatment in the critically ill? Reviewing the evidence for treatment of periodic lateralized epileptiform discharges and related patterns", J Clin Neurophysiol, 22, pp.79~91 (2005)
- García-Morales I, "Periodic lateralized epileptiform discharges etiology, clinical aspects, seizures, and evolution in 130 patients", J Clin Neurophysiol, 19, pp.172~177 (2002)
- Pohlmann-Eden B, "Periodic lateralized epileptiform discharges-a critical review", J Clin Neurophysiol, 13, pp.519~530 (1996)
- Baykan B, "periodic lateralized epileptiform discharges: association with seizures", Seizure, 9, pp.402~440 (2000)
- Snodgrass SM, "Clinical significance of periodic lateralized epileptiform discharges: relationship with status epilepticus", J Clin Neurophysiol, 6, pp.159~172 (1989)
- Reiher J, "Periodic lateralized epileptiform discharges with transitional rhythmic discharges: association with seizures", Electroencephalogr Clin Neurophysiol, 78, pp.12~17 (1991)
- Kim YS, "Classification and serial evolution of PLEDs", J Clin Neurol, 2, pp.179~185 (2006)
- Singh G, "Periodic lateralized epileptiform discharges (PLEDs) as the sole electrographic correlates of a complex partial seizure", Epileptic Dis, 7, pp.37~41 (2005)
- Young GB, "Periodic lateralized epileptiform discharges with ipsilateral epilepsia partialis continua", Epilepsia, 48, pp.597~598 (2007)
- Kalamangalam GP, "Neuroimaging and neurophysiology of PLEDs: Observation and hypothesis", Epilepsia, 48, pp.1396~1405 (2007)
- Snodgrass SM, "Clinical significance of periodic lateralized epileptiform discharges: relationship with status epilepticus", J Clin Neurophysiol, 6, pp.159~172 (1989)
- Treiman DM, "Complex partial status epilepticus, In Status epilepticus. Mechanisms of brain damage and treatment", pp.69~81 (1983), Raven Press
- Treiman DM, "Status epilepticus, In The medical treatment of epilepsy", pp.183~193 (1992), Marcel Dekker
- Treiman DM, "Generalized convulsive status epilepticus in the adult", Epilepsia, 34, pp.S2~S11 (1993)
- Treiman DM, "Status epilepticus, In A textbook of epilepsy", pp.205~220 (1993), Churchill Livingstone
- Treiman DM, "Electroclinical features of status epilepticus", J Clinical Neurophysiol, 12, pp.343~362 (1995)
- Kaplan PW, "Gaze deviation from contralateral pseudoperiodic lateralized epileptiform discharges (PLEDs)", Epilepsia, 46, pp.977~979 (2005)
- Hughes JR, "Periodic lateralized epileptiform discharges: do they represent an ictal pattern requiring treatment", Epilepsy Behav, 18, pp.162~165 (2010)
- Cury RF, "Focal nonconvulsive status epilepticus associated to PLEDs and intense focal hyperemia in an AIDS patient", Seizure, 13, pp.358~361 (2004)
- Bozkurt MF, "SPECT in a patient with postictal PLEDs: is hyperperfusion evidence of electrical seizure", Clin Electroencephalogr, 33, pp.171~173 (2002)
- Assal F, "SPECT in periodic lateralized epileptiform discharges (PLEDs): a form of partial status epilepticus", Seizure, 10, pp.260~265 (2001)
- Ali II, "Periodic lateralized epileptiform discharges after complex partial status epilepticus associated with increased focal cerebral blood flow", J Clin Neurophysiol, 18, pp.565~569 (2001)