Krediet C T P, Jardine D L, Cortelli P, Visman A G R, Wieling W
Department of Internal Medicine, Academic Medical Centre/University of Amsterdam, Amsterdam, The Netherlands.
Heart. 2004 May;90(5):e25. doi: 10.1136/hrt.2003.031294.
Clinical data are reported for 13 patients who were referred with recurrent loss of consciousness at night interrupting their sleep. Most of the patients were women (10 of 13) with a mean age of 45 years (range 21-72 years). The histories were more consistent with vasovagal syncope than with epilepsy. This was supported by electroencephalographic and tilt test results. More polysomnographic monitoring data are required to confirm the diagnosis of vasovagal syncope interrupting sleep. This will be difficult because, although the condition may not be rare, the episodes are usually sporadic.
报告了13例因夜间反复意识丧失而影响睡眠前来就诊患者的临床资料。大多数患者为女性(13例中的10例),平均年龄45岁(范围21 - 72岁)。病史更符合血管迷走性晕厥而非癫痫。脑电图和倾斜试验结果支持这一点。需要更多多导睡眠图监测数据来确诊影响睡眠的血管迷走性晕厥。这将很困难,因为尽管这种情况可能并不罕见,但发作通常是散发性的。