Wu Chung-Jung
Department of Endocrinology and Metabolism of Internal Medicine and Geriatric Critical Care Medicine, Chia-Yi Veterans Hospital, Nanhua University, Science and Technology, Dalin Town, Chia-Yi, Taiwan.
Geriatr Gerontol Int. 2009 Mar;9(1):89-91. doi: 10.1111/j.1447-0594.2008.00508.x.
The etiology of acute confusional state in elderly patients with type 2 diabetes mellitus is broad, including hypoglycemia or hyperglycemia, electrolyte imbalance as hyponatremia or hypercalcemia, cerebrovascular disease and drug intoxication among others. Herein, we present an 80-year-old female type 2 diabetic patient in an acute confusional state due to non-convulsive status epilepticus (NCSE). Timely electroencephalogram at an emergency department when available is the only tool for the diagnosis of NCSE when clinically suspected. All clinicians must consider the possibility of NCSE in the differential diagnosis of acute confusional patients when diagnosis is uncertain.
老年2型糖尿病患者急性意识模糊状态的病因广泛，包括低血糖或高血糖、低钠血症或高钙血症等电解质失衡、脑血管疾病和药物中毒等。在此，我们报告一名80岁的2型糖尿病女性患者，因非惊厥性癫痫持续状态（NCSE）而处于急性意识模糊状态。当临床怀疑时，急诊科及时进行脑电图检查是诊断NCSE的唯一工具。当诊断不确定时，所有临床医生在急性意识模糊患者的鉴别诊断中都必须考虑NCSE的可能性。
