Uemura Jyunichi, Wada Yuko, Yagita Yoshiki
Department of Stroke Medicine, Kawasaki Medical School.
Rinsho Shinkeigaku. 2016 Dec 28;56(12):852-856. doi: 10.5692/clinicalneurol.cn-000929. Epub 2016 Nov 25.
A 61-year-old woman was admitted to our hospital for speech disturbance and mild consciousness impairment. Despite the absence of seizures or loss of consciousness, electroencephalographic abnormalities were observed, and the cerebral blood flow scintigraphy revealed an increase in cerebral blood flow in the left temporal lobe. These findings suggested a diagnosis of non-convulsive status epilepticus. On the third day, a twelve-lead electrocardiogram showed a negative T-wave in I, II, aVf, and V2-6. Moreover, a transthoracic echocardiogram revealed left ventricular apical akinesis. However, the coronary angiography showed no evidence of vascular stenotic lesions. We expect the present case report to contribute to the identification of non-convulsive status epilepticus with Takotsubo cardiomyopathy.
一名61岁女性因言语障碍和轻度意识障碍入住我院。尽管没有癫痫发作或意识丧失，但脑电图检查发现异常，脑血流闪烁扫描显示左颞叶脑血流增加。这些发现提示诊断为非惊厥性癫痫持续状态。第三天，一份十二导联心电图显示I、II、aVf及V2 - 6导联T波倒置。此外，经胸超声心动图显示左心室心尖运动减弱。然而，冠状动脉造影未发现血管狭窄病变。我们期望本病例报告有助于识别合并应激性心肌病的非惊厥性癫痫持续状态。
