Trevithick Surgery, Basset Street, Cornwall TR14 8TT UK.
Acupunct Med. 2013 Sep;31(3):319-24. doi: 10.1136/acupmed-2013-010374. Epub 2013 May 9.
A patient with apparently well-controlled epilepsy with a painful musculoskeletal condition was treated successfully with two sessions of acupuncture. However, 4 h after the first treatment and during the second, an adverse event involving impairment of consciousness occurred. The patient subsequently experienced an increased frequency of complex partial seizures resulting in the loss of his driving licence. A detailed retrospective review of the past medical history indicated that the patient probably had comorbidities in the form of rapid eye movement sleep behaviour disorder and dysfunctional somatosensory/vestibular processing. Acupuncture may have triggered the adverse event via shared neurosubstrates. This adverse event raises possible implications regarding safe clinical acupuncture practice.
一位患有明显控制良好的癫痫和肌肉骨骼疼痛疾病的患者,经过两次针灸治疗后成功得到了缓解。然而,在第一次治疗后 4 小时和第二次治疗期间,发生了意识障碍的不良事件。此后,患者经历了更频繁的复杂部分性癫痫发作,导致他失去了驾驶执照。对过去病史的详细回顾表明,患者可能存在快速眼动睡眠行为障碍和感觉运动/前庭处理功能障碍等共病。针灸可能通过共同的神经基质引发了不良事件。该不良事件对安全的临床针灸实践提出了可能的影响。