Inatomi Yuichiro, Nakajima Makoto, Yonehara Toshiro, Ando Yukio
Department of Neurology, Saiseikai Kumamoto Hospital, Kumamoto, Japan.
Department of Neurology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
J Clin Neurosci. 2017 Jun;40:123-129. doi: 10.1016/j.jocn.2017.02.020. Epub 2017 Mar 2.
To investigate the clinical characteristics of patients with seizure following the 2016 Kumamoto earthquake.
We retrospectively studied patients with seizure admitted to our hospital for 12weeks following the earthquake. We compared the clinical backgrounds and characteristics of the patients: before (the same period from the previous 3years) and after the earthquake; and the early (first 2weeks) and late (subsequent 10weeks) phases.
A total of 60 patients with seizure were admitted to the emergency room after the earthquake, and 175 (58.3/year) patients were admitted before the earthquake. Of them, 35 patients with seizure were hospitalized in the Department of Neurology after the earthquake, and 96 (32/year) patients were hospitalized before the earthquake. In patients after the earthquake, males and non-cerebrovascular diseases as an epileptogenic disease were seen more frequently than before the earthquake. During the early phase after the earthquake, female, first-attack, and non-focal-type patients were seen more frequently than during the late phase after the earthquake.
These characteristics of patients with seizure during the early phase after the earthquake suggest that many patients had non-epileptic seizures. To prevent seizures following earthquakes, mental stress and physical status of evacuees must be assessed.
调查2016年熊本地震后癫痫发作患者的临床特征。
我们回顾性研究了地震后12周内入住我院的癫痫发作患者。我们比较了患者的临床背景和特征:地震前(前3年同期)和地震后;以及早期(前2周)和晚期(随后10周)阶段。
地震后共有60例癫痫发作患者被送往急诊室,地震前有175例(每年58.3例)患者入院。其中,地震后有35例癫痫发作患者入住神经内科,地震前有96例(每年32例)患者入院。地震后患者中,男性以及作为致痫疾病的非脑血管疾病比地震前更常见。在地震后的早期阶段,女性、首次发作和非局灶型患者比地震后的晚期阶段更常见。
地震后早期癫痫发作患者的这些特征表明,许多患者患有非癫痫性发作。为预防地震后的癫痫发作,必须评估撤离人员的精神压力和身体状况。