r-n-jРоссийский неврологический журналRussian neurological journal2658-79472686-7192МИА10.30629/2658-7947-2023-28-1-62-66r-n-j-397Research ArticleИССЛЕДОВАНИЯ И КЛИНИЧЕСКИЕ НАБЛЮДЕНИЯCLINICAL RESEARCHES AND CASE REPORTSСтруктурная эпилепсия при рассеянном склерозeStructural epilepsy in a patient with multiple sclerosishttps://orcid.org/0000-0003-4403-8783МужикинаН. В.MuzhikinaN. V.

Мужикина Надежда Викторовна

Санкт-Петербург

Muzhikina Nadezhda V.

Saint Petersburg

zaratustra-e@yandex.ruhttps://orcid.org/0000-0002-7046-704XКоролеваН. Ю.KorolevaN. Y.

Санкт-Петербург

Saint Petersburg

https://orcid.org/0000-0003-0463-9832КатаеваГ. В.KataevaG. V.

Санкт-Петербург

Saint Petersburg

https://orcid.org/0000-0003-3527-7205КоротковА. Д.KorotkovA. D.

Санкт-Петербург

Saint Petersburg

https://orcid.org/0000-0001-8154-9107СтоляровИ. Д.StolyarovI. D.

Санкт-Петербург

Saint Petersburg

ФГБУН Институт мозга человека им. Н.П. Бехтеревой Российской академии наукРоссияN.P. Bechtereva Institute of the Human Brain of the Russian Academy of SciencesRussian FederationФГБУН Институт мозга человека им. Н.П. Бехтеревой Российской академии наук; ФГБУ «Российский научный центр радиологии и хирургических технологий имени академика А.М. Гранова» Минздрава РоссииРоссияN.P. Bechtereva Institute of the Human Brain of the Russian Academy of Sciences; Federal State Budget Institution Granov Russian Research Center of Radiology and Surgical TechnologiesRussian Federation2023160320232816266Copyright © Мужикина Н.В., Королева Н.Ю., Катаева Г.В., Коротков А.Д., Столяров И.Д., 20232023Мужикина Н.В., Королева Н.Ю., Катаева Г.В., Коротков А.Д., Столяров И.Д.Muzhikina N.V., Koroleva N.Y., Kataeva G.V., Korotkov A.D., Stolyarov I.D.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.r-n-j.com/jour/article/view/397

Представлен клинический случай структурной эпилепсии у пациентки с рассеянным склерозом (РC), при котором достигнута стойкая ремиссия приступов, что наблюдается крайне редко для форм эпилепсии с многоочаговым поражением другой этиологии и длительным стажем заболевания. Видео-ЭЭГ-мониторинг, позитронно-эмиссионная томография головного мозга с 18F-дезоксиглюкозой расширяют возможности диагностики формы эпилепсии у пациентов с сочетанной патологией, что позволяет назначать адекватную терапию.

Clinical case of structural epilepsy in a patient with multiple sclerosis is presented, which shows the achievement of seizure’s stable remission, which is extremely rare in forms of epilepsy with a multi-focal lesion another etiology and a long history of the disease without combination with multiple sclerosis. Video-EEG monitoring, positron emission tomography of the brain with 18F-deoxyglucose, expand the possibilities of diagnosing form of epilepsy in patients with combined pathology, which allows prescribing adequate therapy.

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The authors declare that there are no conflicts of interest present.