Tsuji Masayasu, Tanaka Hisashi, Yamakawa Masahito, Sagawa Ryuichi, Azuma Hideki
Department of Psychiatry, Nagoya City University Medical School, Nagoya, Japan.
Epileptic Disord. 2005 Sep;7(3):249-51.
We describe a woman with systemic lupus erythematosus who had complex partial status epilepticus as the sole epileptic manifestation. The patient presented with a confusional state, initially considered to be psychotic in nature, due to SLE. However, the EEG demonstrated the epileptic etiology of her symptoms. In patients with lupus presenting with prolonged episodes of confusion and behavioural disturbance, an EEG should be performed, whenever possible during the episode, even in the absence of a previous history of epilepsy.
我们描述了一名患有系统性红斑狼疮的女性,其唯一的癫痫表现为复杂部分性癫痫持续状态。该患者最初因系统性红斑狼疮出现意识模糊状态,起初被认为本质上是精神病性的。然而,脑电图显示了其症状的癫痫病因。对于出现长时间意识模糊和行为障碍的狼疮患者,无论有无癫痫病史,只要有可能,在发作期间都应进行脑电图检查。