Ambulatory automatism

Introduction Ambulatory autonomic syndrome is a symptom of a complex partial seizure that is more common in localized lesions of the cortex, and the various symptoms at the onset are determined by the location of the lesion.

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.

an examination

Related inspection

Electroencephalography, brain Doppler ultrasound (TCD), neurological examination

The patient walks toward a certain target, sometimes encounters an obstacle and can sometimes avoid it. Sometimes it can be passed by bicycle or driving in a busy city. The attack lasts for a few seconds to several minutes, and the continuous attack can last for several hours to several days.

Differential diagnosis

Other types of autodiasis:

1 injection automatic disease:

Expressing food or tasting food movements, such as licking lips, stretching tongues, pouting and clearing the throat, often accompanied by salivation, chewing, swallowing or nasal spray, etc., with a certain degree of stereotyping;

2 imitative automatic disease:

Visible facial expressions and physical movements such as horror, pleasure, anger and thoughts;

3 gesture autonomic syndrome:

Simple gestures such as wiping, pouting, licking, twisting, grasping objects and genitals, or doing puzzles or comprehension-like movements; complex gestures such as buttoning or undressing, flipping pockets, whisking or finishing clothes, handling Furniture, folding beds or performing some professional activities;

4 lexical auto-sickness:

Muttering, reciting or accompanying vocals or laughter, common repetition phrases or sentences, must be distinguished from the pronunciation of seizures;

5 plus autonomic motor syndrome:

Found in the frontal lobe epileptic seizures, often more severe swinging, rolling, running-like movements, there is a certain commandment, also known as semi-targeted automatic disease, clinical attention and identification of rickets;

6 sexual autopsy presents sexual excitability and movement, often in view of male frontal lobe epilepsy.

The patient walks toward a certain target, sometimes encounters an obstacle and can sometimes avoid it. Sometimes it can be passed by bicycle or driving in a busy city. The attack lasts for a few seconds to several minutes, and the continuous attack can last for several hours to several days.

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