Muttering to oneself

Introduction Vocabulary automatism is a type of complex partial seizure. Muttering, memorizing or accompanying vocals or laughter, common repetition phrases or sentences.

Cause

Temporal lobe episodes, psychomotor seizures, epileptic discharge usually originated from the inner side of the leaves or the leaves, the amount can originate from other parts, due to different origin, diffusion pathway and speed, the clinical manifestations are quite different. A simple partial seizure can occur first (the length can be long or short), and then the disturbance of consciousness occurs.

an examination

Related inspection

Brain CT examination brain MRI examination EEG examination brain nerve examination

(1) Performance awareness disorder:

Consciousness is common, and loss of consciousness is less common. Because of the presence of mental or psychosensory components in the episode, the disturbance of consciousness is often concealed and manifests in similar disappointment (false absence). The origin is more than the leaves.

(2) manifestation of consciousness disorder and automatic disease:

The complex partial seizure of static electricity can start from the aura, the abnormal feeling of the upper abdomen is the most common, and the symptoms of emotion (fear), cognition (like deja vu) and sensory (smell hallucination) can occur, followed by disturbance of consciousness, dullness and movement. stop. The attack usually lasts for 1-3 minutes. The motor performance responsible for partial seizures is characterized by coordinated involuntary activities, called autopsy, about 75% of patients show buccal tongue movements, about 50% of patients can see other movements of the face or neck, and secondary generalization can occur. . Automated behavior is not unique to complex partial seizures, and even non-seizures can occur in the presence of other (eg, absence) or post-onset disturbances of consciousness. Complex partial seizures often cause disturbance of consciousness to release advanced control functions, and the original automatic behavior is released. The severity of consciousness disorder, duration and relatively complete function of lower brain function satisfies the conditions of automatic behavior, and it is common in clinically complicated partial seizures.

Differential diagnosis

The differential diagnosis of muttering repeats:

1. Loss of sound: Aphasia refers to the symptoms of clear and hoarse voice, and even can not make a sound. A dysphonia caused by a lesion in the throat muscles or vocal cords. Symptoms are when the patient speaks, the tone is low, the sound is weak, and when it is severe, no sound is produced. Symptoms of sound when speaking. Also known as "" (yin) or "?", is a dark variant. There are false and real points: external feelings of cold, wind, or sensation after injury to the diet, or obstruction of the airway at the end of pregnancy, mostly evidence, such as laryngitis, sudden loss of sound, also known as "violent"; internal injuries Lung and kidney, loss of yin essence, resulting in the lack of support for the body fluid, manifested as chronic or recurrent episodes of aphasia, mostly deficiency syndrome, such as vocal cord disease, disease and so on.

2, difficulty in pronunciation: eating too, also known as difficulty in pronunciation, is due to muscle atrophy, paralysis, motor coordination disorder or convulsions of the vocal organs, causing language errors, uneven rhymes, slow flow, rhythm disorder. Clinically, according to anatomical and physiological changes, there are two types of paralytic eating and mediating.

3, pronunciation change: pronunciation change belongs to a pathological symptom of dysphonia, mainly manifested as delay and abnormality of pronunciation, the development speed of pronunciation is lower than the corresponding age, the speech is unclear or the pronunciation is wrong. The most likely to be wrong are s, z, c, sh, ch, zh, l, m, n, j, x, etc. Some of the above-mentioned similar sounds are replaced by each other, such as the teacher (lao shi) as Laoxi (lao xi) and the grandmother (nai nai) as mai mai. Omit the beginning or middle of the sound of the word, fixedly send some sounds wrong, pronounced or incoherent, mild dysphonic disorder only shows inaccurate or unclear pronunciation, speech can make people understand; severe dysphonia Because the pronunciation is obviously wrong, the words are difficult to understand, but because the damage only occurs at the language level and there is no syntactic structure error, it always makes people feel that a potential sentence is spoken, which is developmental. Differences in language barriers.

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