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一位 37 岁患有结构性局灶性癫痫和发作性夜间呼吸暂停的男子。

A 37-Year-Old Man With Structural Focal Epilepsy and Paroxysmal Nocturnal Breathing Arrests.

机构信息

Hans Berger Department of Neurology, Jena University Hospital, Jena, Germany; Interdisciplinary Center for Sleep and Ventilatory Medicine, Jena University Hospital, Jena, Germany.

Hans Berger Department of Neurology, Jena University Hospital, Jena, Germany; Interdisciplinary Center for Sleep and Ventilatory Medicine, Jena University Hospital, Jena, Germany.

出版信息

Chest. 2022 May;161(5):e309-e312. doi: 10.1016/j.chest.2021.12.631.

DOI:10.1016/j.chest.2021.12.631
PMID:35526902
Abstract

A 37-year-old male patient was referred to our sleep laboratory with suspected sleep-disordered breathing. His partner reported periods of breathing arrest accompanied by an odd expiratory noise during sleep, occurring on a near to weekly basis. The patient stated that he was able to sleep well, did not have excessive daytime sleepiness, and was not subjectively aware of any disordered breathing at night. He had a history of structural epilepsy following perinatal trauma, with secondary generalized tonic/clonic seizures, preceded by sensory oral misperceptions. The patient was medicated with phenytoin (100 mg), and reported being seizure-free within the last year. He said that he was otherwise in good health.

摘要

一位 37 岁男性患者因疑似睡眠呼吸障碍被转介到我们的睡眠实验室。他的伴侣报告说,患者在睡眠期间出现呼吸暂停,并伴有奇怪的呼气噪音,几乎每周都会发生。患者表示自己睡眠良好,白天没有过度嗜睡,也没有主观感觉到夜间有任何呼吸障碍。他在围产期创伤后患有结构性癫痫,伴有继发全面强直阵挛发作,发作前有感觉性口腔错觉。患者服用苯妥英钠(100 毫克),并报告说在过去一年中没有发作过。他说自己身体其他方面都很好。

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The role of sleep state and time of day in modulating breathing in epilepsy: implications for sudden unexpected death in epilepsy.睡眠状态和时间在癫痫呼吸调节中的作用:对癫痫猝死的影响。
Front Neural Circuits. 2022 Aug 23;16:983211. doi: 10.3389/fncir.2022.983211. eCollection 2022.