[术后无癫痫发作的癫痫持续状态所致昏迷状态]

[Comatose state caused by seizure-free status epilepticus in postoperative period].

作者信息

Sokolova E Iu, Golovteev A L, Savin I A, Goriachev A S, Oshorov A V, Popugaev K A, Kurdiumova N V, Serkov S V, Lubnin A Iu

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 2010 Apr-Jun(2):39-44; discussion 44-5.

PMID:20825081

Abstract

We present a rare clinical observation of progressive development of neurological symptoms up to comatose state in a child with extra-intraventricular craniopharyngioma in delayed postoperative period due to seizure-free status epilepticus which was diagnosed only by EEG-monitoring. Concerning this case report, we discuss genesis of seizure-free status epilepticus and its possible role in development of severe condition in patients with different kinds of neurosurgical pathology in postoperative period.

摘要

我们报告了一例罕见的临床观察病例，一名患有脑室内外颅咽管瘤的儿童在术后延迟期出现神经系统症状进行性发展直至昏迷状态，原因是无癫痫发作的癫痫持续状态，该状态仅通过脑电图监测得以诊断。关于本病例报告，我们讨论了无癫痫发作的癫痫持续状态的发生机制及其在术后不同类型神经外科病理患者病情严重程度发展中可能发挥的作用。