Miller Peter M, Srouk Yfat, Watemberg Nathan
Sackler School of Medicine, Tel Aviv University, Israel.
Pediatr Emerg Care. 2008 Sep;24(9):618-20. doi: 10.1097/PEC.0b013e3181850c6f.
Massive myoclonic jerks, often presenting in a dramatic fashion during a febrile illness, have rarely been reported and have usually been related to as febrile seizures. Febrile myoclonus is usually a benign phenomenon with no neurological sequelae. However, it may be impressive enough to provoke unnecessary diagnostic workup and treatment in these patients. Thus, its recognition by the emergency room or by the primary care physician is important to provide reassurance to the parents or caregivers and to prevent unwarranted hospitalizations and diagnostic procedures such as lumbar puncture and electroencephalogram. We describe 3 cases of febrile myoclonus and briefly review this subject.
大规模肌阵挛性抽搐通常在发热性疾病期间以戏剧性的方式出现，鲜有报道，通常被认为与热性惊厥有关。热性肌阵挛通常是一种良性现象，不会留下神经后遗症。然而，它可能给人留下足够深刻的印象，从而引发对这些患者不必要的诊断检查和治疗。因此，急诊室或初级保健医生对其进行识别，对于安抚患儿家长或照料者、防止不必要的住院治疗以及诸如腰椎穿刺和脑电图等诊断程序至关重要。我们描述了3例热性肌阵挛病例，并简要回顾这一主题。
