Sweis Rochelle, Ortiz Jorge, Biller José
Department of Neurology, Loyola University Chicago, Stritch School of Medicine, Chicago, IL, USA.
Curr Neurol Neurosci Rep. 2016 Mar;16(3):21. doi: 10.1007/s11910-016-0623-z.
Sepsis is a systemic inflammatory response syndrome occurring secondary to infection and labeled severe when end organ dysfunction or tissue hypoperfusion transpires. Sepsis-associated mortality remains high among critically ill patients, with chronic disease and immunosuppression being the most common risk factors. Studies demonstrate that early recognition and treatment are vital to decreasing mortality. Some of the least understood effects of sepsis are the associated neurologic complications. The peripheral nervous system (PNS) has gained most consideration and thought, largely due to dependence on mechanical ventilation. Central nervous system (CNS) complications related to sepsis have only more recently gained attention but continue to go unnoticed. Aside from the clinical examination, electroencephalography (EEG) is a sensitive tool for prognostication or uncovering non-convulsive seizures in encephalopathic patients. Further studies are needed to further define the urgency of a prevention and treatment plan for the deleterious effects of sepsis on the PNS and CNS.
脓毒症是继发于感染的全身性炎症反应综合征,当出现终末器官功能障碍或组织灌注不足时被标记为严重脓毒症。在危重症患者中,脓毒症相关死亡率仍然很高,慢性病和免疫抑制是最常见的危险因素。研究表明,早期识别和治疗对于降低死亡率至关重要。脓毒症一些最不为人所理解的影响是相关的神经并发症。外周神经系统(PNS)受到了最多的关注和思考,这主要是由于对机械通气的依赖。与脓毒症相关的中枢神经系统(CNS)并发症直到最近才受到关注,但仍然未被重视。除了临床检查外,脑电图(EEG)是预测脑病患者预后或发现非惊厥性癫痫发作的敏感工具。需要进一步研究以进一步确定针对脓毒症对PNS和CNS有害影响的预防和治疗计划的紧迫性。