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精神科急诊室泪腺性癫痫发作一例报告

A Case Report of Dacrystic Seizures in the Psychiatric Emergency Services Department.

作者信息

Medina José C, Galván Roxana, Garfias César Y, Arteaga Diana J

机构信息

Teaching Department, National Institute of Psychiatry, Mexico City, MEX.

Psychiatric Emergencies Department, National Institute of Psychiatry, Mexico City, MEX.

出版信息

Cureus. 2022 Mar 29;14(3):e23632. doi: 10.7759/cureus.23632. eCollection 2022 Mar.

Abstract

Epileptiform syndromes are represented by a variety of clinical scenarios. In this context, dacrystic seizures (DS) are characterized by paroxysmal episodes of stereotyped crying and are considered a rare ictal phenomenon. Their neuroanatomical and pathophysiological findings tend to be nonspecific, and to date, there is no consensus on their treatment. Additionally, most of the existing case reports describe that the patients who suffer from them are usually refractory to conventional care. Also, most of the existing literature is approached from a neurological practice perspective; however, there's evidence of patients with these paroxysms that occasionally end up in the hands of psychiatric services due to the uniqueness of their symptoms. However, there is very little information about this phenomenon due to its rarity. For this reason, this manuscript presents the case of a middle-aged man with these seizures who initially attended a psychiatric emergency service and subsequently received neuropsychiatric management and follow-up.

摘要

癫痫样综合征表现为多种临床情况。在此背景下,哭泣性癫痫发作(DS)的特征是刻板性哭泣的阵发性发作,被认为是一种罕见的发作现象。其神经解剖学和病理生理学表现往往不具有特异性,迄今为止,对于其治疗尚无共识。此外,大多数现有病例报告描述,患有此类发作的患者通常对传统治疗无效。而且,现有文献大多是从神经科临床实践的角度进行探讨;然而,有证据表明,由于这些发作症状的独特性,患有这些发作的患者偶尔会被转至精神科服务。然而,由于这种现象罕见,关于它的信息非常少。因此,本手稿介绍了一名患有此类发作的中年男性病例,该患者最初就诊于精神科急诊服务,随后接受了神经精神科管理和随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a6a/9050616/8ae4a1c0cd5c/cureus-0014-00000023632-i01.jpg

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