並列摘要
Objective: Mah-jong seizure is a rare reflex seizure with uncertain pathogenesis. Case Report: A 65 year-old diabetic male had mah-jong seizures. His series electroencephalography (EEG) over eight years were from normal at first and turning to focal slowing at left temporal region and spike in left frontal region later. His brain computer angiography disclosed vessel stenosis. Conclusion: To our knowledge, our patient is the case of mah-jong seizure with longest following up. We infer his mah-jong seizures related to insufficient brain blood supply owing to impaired cerebral autoregulation when more energy supply needed while he was playing mah-jong. Temporal lobe may play an important role according to previous literatures findings and his EEG findings.
延伸閱讀
- 董嘉祥（2019）。藥用大麻應用於癲癇病症的分析研究〔碩士論文，國立臺灣師範大學〕。華藝線上圖書館。https://doi.org/10.6345/NTNU201900013
- 馮清世（2001）。癲癇的小腦刺激術。當代醫學，(328)，113-116。https://doi.org/10.29941/MT.200102.0007
- Li, C. H., Su, C. L., Lin, W. C., & Lin, R. T. (2006). 神經性梅毒以癲癇重積狀態為表現－一病案報告. The Kaohsiung Journal of Medical Sciences, 22(8), 404-409. https://www.airitilibrary.com/Article/Detail?DocID=02575655-200608-22-8-404-409-a
- Chu, B. C., Lai, T. J., & Chang, C. M. (2008). Zolpidem高劑量戒斷引發之癲癇發作. 臺灣精神醫學, 22(2), 148-153. https://doi.org/10.29478/TJP.200806.0008
- 洪祖培、林清臣（1977）。第六章 癲癇之症狀學（五）發熱抽搐，癲癇病人之精神症狀。當代醫學，(40)，172-180。https://doi.org/10.29941/MT.197702.0019