转移性中枢神经系统疾病中的非惊厥性癫痫持续状态

Nonconvulsive status epilepticus in metastatic CNS disease.

作者信息

Blitshteyn Svetlana, Jaeckle Kurt A

机构信息

Department of Neurology, Mayo Clinic, Jacksonville, FL 3222, USA.

出版信息

Neurology. 2006 Apr 25;66(8):1261-3. doi: 10.1212/01.wnl.0000208432.26473.1f.

DOI:10.1212/01.wnl.0000208432.26473.1f

PMID:16636249

Abstract

The authors describe the clinical and diagnostic characteristics of four patients with metastatic CNS disease presenting in de novo nonconvulsive status epilepticus (NCSE). Treatment with anticonvulsants resulted in resolution of NCSE in two patients and a brief improvement in mental status in the other two patients. NCSE should be considered in the differential diagnosis of acute mental status change in patients with metastatic CNS disease.

摘要

作者描述了4例新发非惊厥性癫痫持续状态（NCSE）的中枢神经系统转移瘤患者的临床和诊断特征。抗惊厥药物治疗使2例患者的NCSE得到缓解，另外2例患者的精神状态有短暂改善。对于中枢神经系统转移瘤患者出现急性精神状态改变的鉴别诊断应考虑NCSE。