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一例以新发癫痫为表现的低镁血症病例。

A Case of Hypomagnesemia Presenting as New-Onset Seizure.

作者信息

Michael George, George Kitty

机构信息

Orthopedic Surgery, Thrissur Government Medical College, Mulakunnathukavu, IND.

Internal Medicine, Patient First Medical Center, Dearborn, USA.

出版信息

Cureus. 2022 Apr 3;14(4):e23791. doi: 10.7759/cureus.23791. eCollection 2022 Apr.

DOI:10.7759/cureus.23791
PMID:35518545
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9064401/
Abstract

Identifying the etiology of a new-onset seizure can be challenging due to the extraordinarily large number of differential diagnoses. Electrolyte disturbances, through a mechanism of disruption of neurotransmission within the central nervous system, are often implicated as a possible etiology in many cases of seizures. In this report, we describe the sequence of events related to a 68-year-old patient who suffered from convulsions precipitated by hypomagnesemia and the possible contributors to such a condition.

摘要

由于鉴别诊断的数量极其庞大,确定新发癫痫发作的病因可能具有挑战性。电解质紊乱通过破坏中枢神经系统内神经传递的机制,在许多癫痫发作病例中常被认为是一种可能的病因。在本报告中,我们描述了一名68岁患者因低镁血症引发惊厥的一系列事件以及导致这种情况的可能因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57a1/9064401/5105ce5a4551/cureus-0014-00000023791-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57a1/9064401/5105ce5a4551/cureus-0014-00000023791-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57a1/9064401/5105ce5a4551/cureus-0014-00000023791-i01.jpg

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本文引用的文献

1
Proton-pump Inhibitor-induced Severe Hypomagnesemia and Hypocalcemia are Clinically Masked by Thiazide Diuretic.噻嗪类利尿剂在临床上掩盖了质子泵抑制剂引起的严重低镁血症和低钙血症。
Intern Med. 2019 Aug 1;58(15):2201-2205. doi: 10.2169/internalmedicine.2608-18. Epub 2019 Apr 17.
2
Magnesium: The Forgotten Electrolyte-A Review on Hypomagnesemia.镁:被遗忘的电解质——低镁血症综述
Med Sci (Basel). 2019 Apr 4;7(4):56. doi: 10.3390/medsci7040056.
3
Magnesium and Human Health: Perspectives and Research Directions.镁与人类健康:观点与研究方向
Int J Endocrinol. 2018 Apr 16;2018:9041694. doi: 10.1155/2018/9041694. eCollection 2018.
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Hypomagnesemia in critically ill patients.危重症患者的低镁血症
J Intensive Care. 2018 Mar 27;6:21. doi: 10.1186/s40560-018-0291-y. eCollection 2018.
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The Importance of Magnesium in Clinical Healthcare.镁在临床医疗中的重要性。
Scientifica (Cairo). 2017;2017:4179326. doi: 10.1155/2017/4179326. Epub 2017 Sep 28.
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Magnesium basics.镁的基础知识。
Clin Kidney J. 2012 Feb;5(Suppl 1):i3-i14. doi: 10.1093/ndtplus/sfr163.
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Hypomagnesemia: a clinical perspective.低镁血症:临床视角
Int J Nephrol Renovasc Dis. 2014 Jun 9;7:219-30. doi: 10.2147/IJNRD.S42054. eCollection 2014.
8
Magnesium chloride or magnesium sulfate: a genuine question.氯化镁还是硫酸镁:一个实实在在的问题。
Magnes Res. 2005 Sep;18(3):187-92.
9
THE HYPOMAGNESEMIA OF VITAMIN D ADMINISTRATION.维生素D给药引起的低镁血症。
Proc Soc Exp Biol Med. 1965 Feb;118:512-4. doi: 10.3181/00379727-118-29891.
10
Hypomagnesemia. Physical and psychiatric symptoms.
JAMA. 1973 Jun 25;224(13):1749-51. doi: 10.1001/jama.224.13.1749.