Fernández-Torre J L, Sánchez J M, González C, Fernández-Guinea O
Department of Clinical Neurophysiology, Hospital de Cabueñes, Gijón, Spain.
Seizure. 2003 Jun;12(4):245-8. doi: 10.1016/s1059-1311(02)00259-5.
The purpose of this case report is to describe the clinical, electroencephalographic and neuroimaging findings from a woman with systemic lupus erythematosus presenting with complex partial status epilepticus (CPSE) of neocortical temporo-parieto-occipital origin. The patient experienced complex visual hallucinations that initially were attributed to treatment with corticosteroids; however, an electroencephalogram (EEG) demonstrated the epileptic aetiology of her symptoms. CPSE should be considered as a possible cause of altered mental status in lupus. An urgent EEG is essential to make an accurate diagnosis.
本病例报告的目的是描述一名系统性红斑狼疮女性患者的临床、脑电图和神经影像学检查结果，该患者出现起源于新皮质颞顶枕叶的复杂部分性癫痫持续状态（CPSE）。患者经历了复杂的视幻觉，最初被归因于皮质类固醇治疗；然而，脑电图（EEG）显示了其症状的癫痫病因。CPSE应被视为狼疮患者精神状态改变的可能原因。紧急脑电图检查对于准确诊断至关重要。
