Gnanamuthu C
Cleveland Clinic Foundation, OH 44106.
Postgrad Med. 1988 Aug;84(2):149-52, 154, 156-8. doi: 10.1080/00325481.1988.11700372.
Although less often due to seizures than to other conditions, confusional states may be associated with complex partial seizures in adults or absence (petit mal) seizures in younger persons and children. Absence of a metabolic disorder, intoxication, or risk factors for cerebral ischemia increases the probability that seizure caused the confusional state. A computed tomographic scan or magnetic resonance imaging of the brain is essential when the patient is acutely ill or has had several recent confusional episodes. Once a seizure disorder is diagnosed, appropriate drug therapy can be started.
虽然意识模糊状态较少由癫痫发作引起，而是由其他病症导致，但在成人中可能与复杂部分性癫痫发作有关，在年轻人和儿童中则可能与失神（小发作）癫痫有关。不存在代谢紊乱、中毒或脑缺血风险因素会增加癫痫发作导致意识模糊状态的可能性。当患者病情危急或近期有多次意识模糊发作时，脑部计算机断层扫描或磁共振成像至关重要。一旦诊断出癫痫症，即可开始适当的药物治疗。
