Turner Joseph V
Rural Clinical School - School of Medicine, University of Queensland, Brisbane, Australia ; Queensland Health, Australia.
J Neurosci Rural Pract. 2012 Sep;3(3):405-7. doi: 10.4103/0976-3147.102644.
Episodes of loss-of-consciousness in school-aged children are not uncommon and include metabolic, cardiovascular, neurological, and psychiatric/psychosocial causes. This case describes a first episode of seizure in an 11-year-old migrant girl. History and language issues contributed to the diagnostic dilemma. Ongoing neurological symptoms prompted transfer to a tertiary care facility where investigation revealed patent foramen ovale (PFO) with likely paradoxical embolus. Prevalence and management of this condition is briefly reviewed in the context of the current presentation.
学龄儿童意识丧失发作并不罕见，其病因包括代谢性、心血管性、神经性以及精神/心理社会性因素。本病例描述了一名11岁移民女孩的首次癫痫发作。病史和语言问题导致了诊断困境。持续的神经症状促使其转至三级医疗机构，检查发现卵圆孔未闭（PFO），可能存在反常栓塞。结合当前病例介绍，简要回顾了该病症的患病率及治疗方法。
