mimetic automatism
Introduction
Introduction Imitative autonomic syndrome: visible emotional expressions and physical movements such as horror, happiness, anger and thought. It is a clinical manifestation of automatic disease. Complex partial seizures show more adaptive adaptive unconscious activities with forgetting, called automatism. About 75% of patients have buccal tongue movements, and about 50% have facial or neck movements, which can be secondary to generalization.
Cause
Cause
It is more common in localized lesions due to cortex, and the various symptoms at the time of onset are determined by the location of the lesion. Most common in temporal lobe epilepsy.
Examine
an examination
Related inspection
Nervous system examination
According to typical clinical features and EEG focal discharge, head CT or MRI should be performed routinely.
Diagnosis
Differential diagnosis
According to clinical manifestations, the automatic syndrome is divided into:
1 eating automatic disease: performance of eating or tasting action, such as lips, tongues and throat, often accompanied by salivation, chewing, swallowing or nasal spray, etc. have a certain degree of stereotype
2 imitative autonomic syndrome: visible emotional state expressions and physical movements such as horror, happiness, anger and thinking.
3 Gesture Automated Disorder: Simple gestures such as wiping face, pouting, licking the tongue, grasping objects and playing with the genitals, confusing or comprehending the movements; complex gestures such as buttoning or undressing, flipping pockets, whisking, finishing clothes Carrying furniture, smashing beds or doing some professional activities.
4 lexical autonomic disorder: muttering, reciting, accompanied by vocal or laughter, common repetitive phrases or sentences, need to be identified with the pronunciation of seizures.
5 ambulatory automatic disease: walking to a target, encounter obstacles can be avoided, sometimes even riding a bicycle or driving through the downtown, the attack lasts for a few seconds to a few minutes, continuous episodes can last from several hours to several days.
6 pseudo-automatic motility automatic syndrome: also known as semi-target autonomic syndrome, seen in the frontal lobe seizure period, common severe swing, rolling, running-like movements, a certain rhythm, clinical need and snoring identification
7 Sexual autosis: sexual excitability and movement, common in male frontal lobe epilepsy.
According to typical clinical features and EEG focal discharge, head CT or MRI should be performed routinely.
