Jin Lang, Zhang Ying, Wang Xiao-Li, Zhang Wen-Juan, Liu Yong-Hong, Jiang Zhao
Department of Neurology, Xijing Hospital, The Fourth Military Medical University, Xi'an, China.
Department of Neurology, Xijing Hospital, The Fourth Military Medical University, Xi'an, China.
J Clin Neurosci. 2017 Sep;43:130-132. doi: 10.1016/j.jocn.2017.04.035. Epub 2017 May 30.
Sudden unexpected death in epilepsy (SUDEP) is one of the most frequent causes of death among patients with epilepsy. Most SUDEP or near-SUDEP are unwitnessed and not observed or recorded during video-EEG recording in epilepsy monitoring units. This report describes a young woman with post ictal apnea and generalized EEG suppression (PGES) after a secondary generalized tonic-clonic seizure (sGTCS). This was accompanied by bradycardia and then ventricular tachycardia (VT). But at the end of VT, the patient's breath recovered without any intervention, such as cardio-respiratory resuscitation. This case report with continuous EEG, EKG, EMG during near SUDEP may provide insights into the mechanism of action.
癫痫猝死（SUDEP）是癫痫患者中最常见的死亡原因之一。大多数SUDEP或接近SUDEP的情况在癫痫监测单元进行视频脑电图记录期间未被目睹、观察或记录到。本报告描述了一名年轻女性，在继发性全面强直阵挛发作（sGTCS）后出现发作后呼吸暂停和广泛性脑电图抑制（PGES）。同时伴有心动过缓，随后出现室性心动过速（VT）。但在室性心动过速结束时，患者呼吸自行恢复，未进行任何诸如心肺复苏等干预措施。这份在接近SUDEP期间进行连续脑电图、心电图、肌电图监测的病例报告可能有助于深入了解其作用机制。
