Ib nrab (focal) qaug dab peg

Txhua qhov qaug dab peg yog tshwm sim los ntawm cov teeb meem hluav taws xob tsis zoo hauv lub hlwb. Ib nrab (focal) qaug dab peg tshwm sim thaum qhov kev ua hluav taws xob no tseem nyob hauv thaj chaw ntawm lub hlwb. Kev qaug dab peg qee zaum tuaj yeem hloov mus rau qhov kev chua leeg, uas cuam tshuam rau tag nrho lub hlwb. Qhov no hu ua kev lag luam dav dav.

Ib nrab qaug dab peg tau muab faib ua:

• Yooj yim, tsis cuam tshuam nrog paub lossis nco
• Cov nyom, cuam tshuam rau kev paub txog lossis nco txog cov xwm txheej ua ntej, thaum, thiab tam sim ntawd tom qab qaug dab peg, thiab cuam tshuam rau kev coj cwj pwm

Qee qhov qaug dab peg yog hom feem ntau qaug dab peg hauv cov neeg 1 xyoos thiab laus dua. Hauv cov neeg laus dua 65 xyoos uas muaj kab mob hauv cov hlab ntshav ntawm lub paj hlwb lossis hlav hlwb, qee qhov qaug dab peg feem ntau muaj.

Cov neeg muaj qhov chua leeg ib nrab yuav yog lossis yuav tsis nco tseg ib qho lossis tag nrho cov tsos mob lossis sijhawm thaum qaug dab peg.

Nyob ntawm seb qhov twg ntawm lub paj hlwb chua leeg pib, cov tsos mob tuaj yeem suav nrog:

• Mob plab tsis sib thooj, xws li lub taub hau lossis ceg tawv txawv txav
• Lub ntsej muag tsis sib xws, qee zaus nrog qhov rov qab ua dua xws li coj khaub ncaws lossis di ncauj smacking
• Ob lub qhov muag txav mus rau ib sab
• Qhov txawv txav tsis xws li, xws li loog, qog, nkag ntawm qhov xav (zoo li ntsaum tawm ntawm daim tawv nqaij)
• Kev ua kom pom, pom, hnov ​​ntxhiab, lossis qee zaum hnov ​​cov khoom uas tsis muaj
• Mob plab los yog tsis xis nyob
• Xeev siab
• Tawm hws
• Ua ntsej muag yaug
• Cov menyuam muag npau suav
• Lub plawv dhia nrawm / mem tes

Lwm cov tsos mob tuaj yeem suav nrog:

• Tsaus nti tsaus nti, ntu caij nyoog ploj ntawm lub cim xeeb
• Hloov pauv qhov tsis pom kev
• Kev hnov ​​ntawm déjà vu (zoo li tam sim no qhov chaw thiab lub sijhawm tau paub dhau los)
• Pauv hauv kev pauv lossis kev xav
• Ib ntus tsis txawj hais lus

Tus kws kho mob yuav kuaj lub cev. Qhov no yuav suav nrog cov ncauj lus kom ntxaws saib ntawm lub hlwb thiab lub paj hlwb.

EEG (electroencephalogram) yuav ua tiav los kuaj cov hluav taws xob hauv lub hlwb. Cov neeg muaj qaug dab peg feem ntau muaj cov hluav taws xob txawv txav uas pom ntawm qhov kev ntsuas no. Hauv qee kis, kev xeem ntawv qhia thaj chaw hauv lub hlwb uas pib chua leeg. Lub hlwb yuav tshwm sim zoo tom qab qaug dab peg lossis nruab nrab ntawm qaug dab peg.

Kev kuaj ntshav kuj yuav raug yuam kom kuaj xyuas lwm yam teeb meem kev noj qab haus huv uas tuaj yeem ua rau qaug dab peg.

Lub taub hau CT lossis MRI scan tuaj yeem ua kom pom qhov laj thawj thiab thaj chaw teeb meem hauv lub hlwb.

Kev kho mob rau qee yam hauv foos nrog rau cov tshuaj, kev hloov pauv hauv kev ua neej rau cov neeg laus thiab menyuam, xws li kev ua si thiab kev noj zaub mov, thiab qee zaum phais. Koj tus kws kho mob tuaj yeem qhia koj ntau ntxiv txog cov kev xaiv no.

Focal seizure; Jacksonian qaug dab peg; Ntu - ib nrab (focal); Kev Qhua Sij Hawm Sij Hawm; Epilepsy - qaug dab peg ib nrab

• Kev mob vwm rau cov neeg laus - dab tsi yuav nug koj tus kws kho mob
• Kev mob vwm rau menyuam yaus - yuav hais dab tsi ntawm koj tus kws kho mob

• Lub Hlwb

Abou-Khalil BW, Gallagher MJ, Macdonald RL. Tshuaj Mob Pleev. Hauv: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology nyob rau hauv Kev Soj NtsuamCov. 7 tus ed. Philadelphia, PA: Elsevier; 2016: chap 101.

Kanner AM, Ashman E, Gloss D, li al. Cov txheej txheem kev qhia hloov kho tshiab cov ntsiab lus: kev ua tau zoo thiab thev taus ntev ntawm cov tshuaj tshiab antiepileptic I: kev kho mob tshiab-pib mob vwm: Daim Ntawv Qhia ntawm Kev Taw Qhia Kev Txhim Kho, Kev Qhia Tawm, thiab Kev Siv Lub Tuam Tsev Tswj Xyuas ntawm American Academy of Neurology thiab American Epilepsy Society. NeurologyCov. Xyoo 2018; 91 (2): 74-81. PMID: 29898971 pubmed.ncbi.nlm.nih.gov/29898971/.

Wiebe S. Lub raum. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 375.