全身麻醉后非癫痫性发作：5例报告

Nonepileptic seizures following general anesthetics: a report of five cases.

作者信息

Lichter Ida, Goldstein Laura H, Toone Brian K, Mellers John D C

机构信息

Neuropsychiatry Unit, Maudsley Hospital, Denmark Hill, London SE5 8AZ, UK.

出版信息

Epilepsy Behav. 2004 Dec;5(6):1005-13. doi: 10.1016/j.yebeh.2004.09.003.

DOI:10.1016/j.yebeh.2004.09.003

PMID:15582852

Abstract

Five patients who developed seizures following a general anesthetic are described. It is not possible to determine retrospectively whether or not the initial attacks were definitely epileptic, but these patients all subsequently received a diagnosis of psychological nonepileptic convulsions/seizures (also known as pseudoseizures, psychogenic nonepileptic seizures, and nonepileptic attack disorder) established by video/EEG telemetry or ictal EEG recordings. In two cases there was evidence of concurrent epilepsy. We suggest that nonepileptic seizures may develop following postanesthetic seizures and that a psychogenic basis for seizures occurring after general anesthetics needs to be considered.

摘要

本文描述了5例在全身麻醉后出现癫痫发作的患者。回顾性地确定最初的发作是否肯定为癫痫发作是不可能的，但这些患者随后均被诊断为心理性非癫痫性惊厥/发作（也称为假性发作、心因性非癫痫性发作和非癫痫性发作障碍），诊断依据为视频/脑电图遥测或发作期脑电图记录。在2例患者中，有证据表明同时存在癫痫。我们认为，非癫痫性发作可能在麻醉后发作后出现，并且需要考虑全身麻醉后发生的发作存在心理性基础。