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抗电压门控钾通道抗体综合征:重症监护病房低钠血症的罕见病因。

Anti-Voltage-Gated Potassium Channel Antibody Syndrome: A Rare Cause of Hyponatremia in Intensive Care Unit.

作者信息

Sulakshana Sulakshana, Prakash Shashi

机构信息

Department of Anesthesiology, IMS BHU, Varanasi, Uttar Pradesh, India.

出版信息

Indian J Crit Care Med. 2018 Oct;22(10):746-748. doi: 10.4103/ijccm.IJCCM_480_17.

Abstract

Hyponatremia causing seizure is a common cause for admission in the critical care unit. Here, we describe a peculiar case of seizure due to hyponatremia, associated with anti-voltage-gated potassium channel antibody syndrome. This case emphasizes that how a proper workup can unveil unusual but potentially treatable causes of hyponatremia. The hallmark of this syndrome is that neurological symptoms may relapse or progress if the disorder is not recognized in time. This case report emphasizes the point that how a keen observation may decode subtle signs of the grave but potentially treatable pathologies.

摘要

低钠血症导致的癫痫发作是重症监护病房常见的入院原因。在此,我们描述了一例因低钠血症引发癫痫发作的特殊病例,该病例与抗电压门控钾通道抗体综合征相关。此病例强调了恰当的检查如何能揭示低钠血症不寻常但潜在可治疗的病因。该综合征的特点是,如果疾病未及时被识别,神经症状可能会复发或进展。本病例报告强调了敏锐观察如何能解读严重但潜在可治疗疾病的细微迹象这一点。

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