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痫后神经源性肺水肿:病例报告及文献简要综述

Postictal neurogenic pulmonary edema: Case report and brief literature review.

作者信息

Romero Osorio Oscar Mauricio, Abaunza Camacho Juan Felipe, Sandoval Briceño Diana, Lasalvia Pieralessandro, Narino Gonzalez Daniel

机构信息

Javeriana University.

出版信息

Epilepsy Behav Case Rep. 2017 Sep 28;9:49-50. doi: 10.1016/j.ebcr.2017.09.003. eCollection 2018.

Abstract

Cardiopulmonary complications associated with epilepsy are generally associated with generalized tonic-clonic seizures, as a consequence of systemic adrenergic discharge and release of inflammatory mediators. We present a case of a 34-year-old woman with a history of Focal epilepsy since adolescence, who presented self-limited pulmonary edema following a focal to bilateral tonic-clonic seizure with subsequent resolution of the symptoms. We also made a brief review of neurogenic pulmonary edema, its proposed pathophysiology, treatment and its relation with sudden unexpected death in epilepsy (SUDEP).

摘要

与癫痫相关的心肺并发症通常与全身性强直阵挛性发作有关,这是全身肾上腺素能释放和炎症介质释放的结果。我们报告一例34岁女性病例,该女性自青春期起患有局灶性癫痫,在一次局灶性发作继发双侧强直阵挛性发作后出现自限性肺水肿,随后症状缓解。我们还简要回顾了神经源性肺水肿、其推测的病理生理学、治疗方法及其与癫痫猝死(SUDEP)的关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb49/5913356/e77f6c8d0eac/gr1.jpg

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