Lee Won Gu, Huh So-Young, Lee Jin-Hyung, Yoo Bong Goo, Kim Meyung Kug
Department of Neurology, Kosin University College of Medicine, Busan, Korea.
J Epilepsy Res. 2017 Dec 31;7(2):121-125. doi: 10.14581/jer.17020. eCollection 2017 Dec.
Heat stroke (HS) is a medical emergency and life threatening condition, characterized by body temperature over 40°C. This can lead to dysfunction of multiple organs such as the heart, liver, kidneys, lungs, blood coagulation system, and central nervous system. Neurological complications include change in consciousness, cerebellar dysfunction, convulsions, aphasia, muscular weakness, and parkinsonism. Cerebellar syndrome is the most common neurological finding in HS. We report a case of HS presenting with status epilepticus, without any other neurological manifestations. A 42 year old man, previously diagnosed with bipolar disorder, was admitted to the emergency room with high fever and repetitive generalized tonic-clonic seizures. He had been found unconscious after 4 hours of heavy physical work under extremely hot weather conditions. He was diagnosed with HS accompanied by status epilepticus, and treated with emergency body cooling and antiepileptics. Five days after admission, he regained consciousness and the laboratory parameters that were initially abnormal returned to normal values. On day 14, he was discharged without any neurological complications.
中暑（HS）是一种医疗急症，危及生命，其特征为体温超过40°C。这可导致心脏、肝脏、肾脏、肺、凝血系统及中枢神经系统等多器官功能障碍。神经并发症包括意识改变、小脑功能障碍、惊厥、失语、肌无力及帕金森综合征。小脑综合征是中暑最常见的神经学表现。我们报告一例以癫痫持续状态为表现的中暑病例，无任何其他神经学表现。一名42岁男性，既往诊断为双相情感障碍，因高热及反复全身性强直阵挛发作入住急诊室。他在酷热天气下进行4小时繁重体力劳动后被发现昏迷。他被诊断为中暑伴癫痫持续状态，并接受了紧急身体降温及抗癫痫药物治疗。入院5天后，他恢复意识，最初异常的实验室指标恢复正常。第14天，他出院，无任何神经并发症。
