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[表现为复杂部分性癫痫持续状态的斯特奇-韦伯综合征病例]

[Case of Sturge-Weber syndrome manifesting complex partial status epilepticus].

作者信息

Inutsuka Miki, Ohta Hodaka, Ogawa Kazunori, Yoshinaga Harumi, Ohtsuka Yoko

机构信息

Department of Child Neurology, Okayama University, Okayama.

出版信息

No To Hattatsu. 2009 Jan;41(1):52-6.

Abstract

A three-year-old boy presented with status epilepticus with right hemiconvulsion and complex partial status epilepticus (CPSE) that were preceded by disturbance of consciousness and right hemiplegia just after a traumatic head injury. He was diagnosed as Sturge-Weber syndrome (SWS) because of the presence of a small cutaneous port-wine nevus and the nature of his MRI findings. The nevus was located in the middle of the forehead and was light in color. Intravenous drip infusion of lidocaine was effective for the treatment of CPSE, but the patient has experienced refractory complex partial seizures since then. It has not yet been reported that patients with SWS developed CPSE following head trauma, although it is known that patients with SWS can manifest convulsive status epilepticus. CPSE should be recognized as one of the seizure types of SWS.

摘要

一名三岁男孩在头部外伤后不久出现癫痫持续状态,伴有右侧偏瘫性惊厥和复杂部分性癫痫持续状态(CPSE),发作前有意识障碍和右侧偏瘫。由于存在小的皮肤葡萄酒色斑痣以及MRI检查结果的特征,他被诊断为斯特奇-韦伯综合征(SWS)。该痣位于前额中部,颜色较浅。静脉滴注利多卡因对CPSE治疗有效,但此后患者经历了难治性复杂部分性癫痫发作。虽然已知SWS患者可表现为惊厥性癫痫持续状态,但此前尚未有SWS患者在头部外伤后发生CPSE的报道。CPSE应被视为SWS的癫痫发作类型之一。

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