Smith S J, Kocen R S
National Hospital for Nervous Diseases, Queen Square, London, UK.
J Neurol Neurosurg Psychiatry. 1988 Jan;51(1):120-3. doi: 10.1136/jnnp.51.1.120.
Two patients with lithium toxicity presented with a neurological syndrome suggesting a diagnosis of Creutzfeldt-Jakob disease. In both cases, the initial EEG was consistent with this diagnosis. Neither patient had permanent neurological sequelae and the EEG returned to normal. A careful drug history should be taken in any patient who presents with a rapidly progressive dementia even when the EEG supports a diagnosis of Creutzfeldt-Jakob disease.
两名锂中毒患者出现了提示克雅氏病诊断的神经综合征。在这两个病例中,最初的脑电图与该诊断相符。两名患者均未留下永久性神经后遗症,脑电图恢复正常。对于任何出现快速进展性痴呆的患者,即使脑电图支持克雅氏病的诊断,也应仔细询问用药史。