Romero Osorio Oscar Mauricio, Abaunza Camacho Juan Felipe, Sandoval Briceño Diana, Lasalvia Pieralessandro, Narino Gonzalez Daniel
Javeriana University.
Epilepsy Behav Case Rep. 2017 Sep 28;9:49-50. doi: 10.1016/j.ebcr.2017.09.003. eCollection 2018.
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).
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。