Mehryar G R, McIntyre H B
Bull Los Angeles Neurol Soc. 1975 Jan;40(1):8-12.
A case presenting with headaches, organic dysfunction with visual hallucinations, and incontinence of urine, all of two days' duration is described here. EEG obtained on the fourth hospital day showed right-sided PLEDS and on the fifth hospital day a generalized seizure occurred. The other clinical and laboratory data led to a diagnosis of bilateral subdural hematomas. The patient recovered following surgical treatment. No etiologic factor other than the subdural hematomas was found to explain the PLEDS. Possible mechanisms of pathophysiology are discussed.
本文描述了一例患者，出现头痛、伴有视幻觉的器质性功能障碍及尿失禁，均持续两天。入院第四天进行的脑电图检查显示右侧周期性癫痫样放电，第五天出现全身性癫痫发作。其他临床和实验室检查结果诊断为双侧硬膜下血肿。患者经手术治疗后康复。除硬膜下血肿外，未发现其他病因可解释周期性癫痫样放电。文中讨论了可能的病理生理机制。
