Nath Uma, Warren Naomi Margaret, Ali Husam
Neurology Department, Sunderland Royal Hospital, Sunderland, Tyne and Wear, UK.
BMJ Case Rep. 2011 Jul 28;2011:bcr1220103579. doi: 10.1136/bcr.12.2010.3579.
A young woman presented with memory problems of subacute onset. Imaging was normal. She was admitted with severe complex partial status epilepticus requiring intensive care support and ventilation. Fits proved difficult to control requiring high dose anticonvulsants. She developed a profound amnesic syndrome. A clinical diagnosis of autoimmune encephalitis was considered and she was treated with intravenous steroids with an excellent cognitive outcome. She continues to have occasional seizures.
一名年轻女性出现亚急性起病的记忆问题。影像学检查正常。她因严重的复杂部分性癫痫持续状态入院,需要重症监护支持和通气。癫痫发作难以控制,需要大剂量抗惊厥药物。她发展为严重的遗忘综合征。考虑自身免疫性脑炎的临床诊断,她接受了静脉注射类固醇治疗,认知结果良好。她仍偶尔有癫痫发作。