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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.

DOI:10.1016/j.ebcr.2017.09.003
PMID:29692972
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5913356/
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
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb49/5913356/e77f6c8d0eac/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb49/5913356/e77f6c8d0eac/gr1.jpg

相似文献

1
Postictal neurogenic pulmonary edema: Case report and brief literature review.痫后神经源性肺水肿:病例报告及文献简要综述
Epilepsy Behav Case Rep. 2017 Sep 28;9:49-50. doi: 10.1016/j.ebcr.2017.09.003. eCollection 2018.
2
Tonic electromyographic activity following bilateral tonic-clonic seizures is associated with periictal respiratory dysfunction and postictal generalized EEG suppression.双侧强直-阵挛性发作后出现紧张性肌电活动与发作期呼吸功能障碍和发作后广泛 EEG 抑制有关。
Epilepsia. 2019 Feb;60(2):268-274. doi: 10.1111/epi.14632. Epub 2019 Jan 10.
3
Ictal Symmetric Tonic Extension Posturing and Postictal Generalized EEG Suppression Arising From Sleep in Children With Epilepsy.癫痫儿童睡眠中出现的发作性对称性强直伸展姿势和发作后全面性 EEG 抑制。
Pediatr Neurol. 2017 Nov;76:54-59. doi: 10.1016/j.pediatrneurol.2017.06.018. Epub 2017 Jul 4.
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Pulmonary edema following generalized tonic clonic seizures is directly associated with seizure duration.全身强直阵挛性癫痫发作后的肺水肿与发作持续时间直接相关。
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Potentially high-risk cardiac arrhythmias with focal to bilateral tonic-clonic seizures and generalized tonic-clonic seizures are associated with the duration of periictal hypoxemia.伴有局灶性至双侧强直阵挛性发作和全身强直阵挛性发作的潜在高危心律失常与发作期低氧血症的持续时间有关。
Epilepsia. 2017 Dec;58(12):2164-2171. doi: 10.1111/epi.13934. Epub 2017 Nov 3.
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Sudden unexpected death in epilepsy in a 14-year-old girl: case report and literature review.一名14岁女孩癫痫发作时的意外猝死:病例报告与文献综述
J Int Med Res. 2018 May;46(5):2031-2036. doi: 10.1177/0300060518762265. Epub 2018 Mar 20.
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[Postictal pulmonary oedema: a review of the literature].[癫痫发作后肺水肿:文献综述]
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Biomarkers for SUDEP: Are We There Yet?心性猝死的生物标志物:我们做到了吗?
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Postictal generalized EEG suppression and respiratory dysfunction following generalized tonic-clonic seizures in sleep and wakefulness.睡眠和觉醒时全面性强直-阵挛发作后癫痫发作后全面性 EEG 抑制和呼吸功能障碍。
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Epileptology of the first tonic-clonic seizure in adults and prediction of seizure recurrence.成人首次强直-阵挛性发作的癫痫学及发作复发预测
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Cureus. 2024 Aug 20;16(8):e67308. doi: 10.7759/cureus.67308. eCollection 2024 Aug.
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Brain-lung interaction: a vicious cycle in traumatic brain injury.脑-肺相互作用:创伤性脑损伤中的恶性循环。
Acute Crit Care. 2022 Feb;37(1):35-44. doi: 10.4266/acc.2021.01193. Epub 2022 Feb 11.
3
Let's talk SUDEP.我们来谈谈癫痫性猝死。

本文引用的文献

1
Pulmonary edema following generalized tonic clonic seizures is directly associated with seizure duration.全身强直阵挛性癫痫发作后的肺水肿与发作持续时间直接相关。
Seizure. 2015 Apr;27:19-24. doi: 10.1016/j.seizure.2015.02.023.
2
Sudden unexpected death in the epilepsy monitoring unit.癫痫监测病房内的意外猝死
Epilepsy Curr. 2014 Mar;14(2):78-80. doi: 10.5698/1535-7597-14.2.78.
3
The mechanism of neurogenic pulmonary edema in epilepsy.癫痫中神经源性肺水肿的机制。
Noro Psikiyatr Ars. 2019 Sep 5;56(4):292-301. doi: 10.29399/npa.23663. eCollection 2019 Dec.
4
Fluorescein-guided excision of a pediatric intraparenchymal schwannoma presenting with seizure and neurogenic pulmonary edema.荧光素引导下切除表现为癫痫发作和神经源性肺水肿的小儿脑实质内神经鞘瘤。
Childs Nerv Syst. 2020 May;36(5):1075-1078. doi: 10.1007/s00381-019-04438-z. Epub 2019 Nov 30.
5
Recurrent Acute Neurogenic Pulmonary Edema after Uncontrolled Seizures.癫痫发作失控后复发性急性神经源性肺水肿
Case Rep Pulmonol. 2018 Aug 19;2018:3483282. doi: 10.1155/2018/3483282. eCollection 2018.
J Physiol Sci. 2014 Jan;64(1):65-72. doi: 10.1007/s12576-013-0291-6. Epub 2013 Oct 20.
4
Neurogenic pulmonary edema associated with underlying lung disease after a breakthrough seizure.癫痫发作后与潜在肺部疾病相关的神经源性肺水肿。
Case Rep Med. 2012;2012:560942. doi: 10.1155/2012/560942. Epub 2012 Aug 2.
5
Neurogenic pulmonary edema.神经源性肺水肿。
Acta Anaesthesiol Scand. 2007 Apr;51(4):447-55. doi: 10.1111/j.1399-6576.2007.01276.x.
6
Increased pulmonary vascular permeability and oedema induced by intrathecally injected endothelins in rat.鞘内注射内皮素诱导大鼠肺血管通透性增加和肺水肿
Eur J Pharmacol. 1998 Mar 5;344(2-3):251-9. doi: 10.1016/s0014-2999(97)01569-0.
7
A role for endothelin in bicuculline-induced neurogenic pulmonary oedema in rats.内皮素在荷包牡丹碱诱导的大鼠神经源性肺水肿中的作用。
Br J Pharmacol. 1995 Jul;115(5):753-60. doi: 10.1111/j.1476-5381.1995.tb14997.x.