Kye Min-Surk, Lee Jung-Ju, Kim Byung-Kun, Kwon Ohyun, Park Jong Moo, Kang Kyusik, Lee Woong-Woo
Department of Neurology, Eulji General Hospital, Eulji University College of Medicine, Seoul, Korea.
J Epilepsy Res. 2017 Dec 31;7(2):115-117. doi: 10.14581/jer.17018. eCollection 2017 Dec.
Aphasic status epilepticus (ASE) is a rare disorder characterized by recurrent aphasia without impairment of other cognitive functions. A 76-year-old woman with chronic kidney disease developed ASE after neglecting peritoneal dialysis. Magnetic resonance imaging failed to demonstrate an appropriate lesion. Electroencephalography demonstrated ictal discharges in the left frontotemporal leads. ASE disappeared after intravenous valproic acid and correction of uremia. This is the first case report of ASE in a patient with acute aggravation of uremia.
失语性癫痫持续状态(ASE)是一种罕见的疾病,其特征为反复出现失语,而其他认知功能未受损。一名76岁患有慢性肾病的女性在忽视腹膜透析后发生了ASE。磁共振成像未显示出合适的病变。脑电图显示左侧额颞导联有发作期放电。静脉注射丙戊酸并纠正尿毒症后,ASE消失。这是第一例关于尿毒症急性加重患者发生ASE的病例报告。