Boutte C, Vercueil L, Durand M, Vincent F, Alvarez J-C
Laboratoire d'Explorations Fonctionnelles du SNC, CHU de Grenoble, 38043 Grenoble cedex 9, France.
Neurophysiol Clin. 2006 Mar-Apr;36(2):85-9. doi: 10.1016/j.neucli.2006.03.004. Epub 2006 Apr 7.
In a young woman presenting with severe coma, the EEG helped diagnosing baclofen overdose. In this patient, the first EEG showed continuous multifocal pseudoperiodic sharp waves. The diagnosis was confirmed by the plasma dosage providing an 8-fold increase above normal baclofen therapeutic range. Following symptomatic therapy, the patient improved within a few days and the EEG normalised. Few other drugs may be responsible for such EEG changes, namely lithium, cephalosporin, and bismuth. In such cases, EEG contribution to the diagnosis should not be ignored.
在一名出现严重昏迷的年轻女性中,脑电图有助于诊断巴氯芬过量。在该患者中,首次脑电图显示持续的多灶性假性周期性尖波。血浆剂量显示巴氯芬高于正常治疗范围8倍,从而确诊。经过对症治疗,患者在数天内病情好转,脑电图恢复正常。很少有其他药物可能导致这种脑电图变化,即锂盐、头孢菌素和铋剂。在这种情况下,脑电图对诊断的作用不应被忽视。