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急诊环境下精神性非癫痫性癫痫持续状态的诊断

Diagnosis of psychogenic nonepileptic status epilepticus in the emergency setting.

作者信息

Holtkamp Martin, Othman Jalal, Buchheim Katharina, Meierkord Hartmut

机构信息

Department of Neurology, Charité-Universitätsmedizin Berlin, Schumannstr. 20/21, 10117 Berlin, Germany.

出版信息

Neurology. 2006 Jun 13;66(11):1727-9. doi: 10.1212/01.wnl.0000218299.15988.9d.

Abstract

Episodes of psychogenic nonepileptic status epilepticus (PNESE) characterized by pronounced generalized motor features were compared with those of refractory generalized convulsive status epilepticus. Patients with PNESE were younger, had port systems implanted more frequently, received higher doses of benzodiazepines until seizure termination or respiratory failure, and had lower serum creatine kinase levels.

摘要

以明显的全身性运动特征为特点的精神性非癫痫性癫痫持续状态(PNESE)发作与难治性全身性惊厥性癫痫持续状态的发作进行了比较。PNESE患者更年轻,更频繁地植入了端口系统,在癫痫发作终止或呼吸衰竭之前接受了更高剂量的苯二氮䓬类药物,且血清肌酸激酶水平更低。

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