Akimoto Takashi, Kobayashi Tadashi, Maita Hiroki, Osawa Hiroshi, Kato Hiroyuki
Department of General Medicine Hirosaki University School of Medicine and Hospital Hirosaki Japan.
Development of Community Healthcare Hirosaki University Graduate School of Medicine Hirosaki Japan.
J Gen Fam Med. 2022 Feb 28;23(4):275-277. doi: 10.1002/jgf2.531. eCollection 2022 Jul.
A 30-year-old man was referred to our department because of repeated acute-onset and short-lasting fatigue attacks, which occurred from 3 months before the referral. He had no abnormal findings in blood tests, electrocardiogram (including 24- h monitoring), or head MRI (including angiography). His vital signs were unremarkable, and his physical examination revealed no abnormal findings. Detailed history-taking with closed-ended questions revealed the occurrence of tingling sensation from the right fingers as the aura before his attacks. Electroencephalography was performed, which revealed focal epilepsy. Levetiracetam resolved his symptoms. Physicians could consider non-convulsive epilepsy as a potential cause of repeated acute-onset and short-lasting fatigue attacks of unknown etiology after underlying conditions, such as metabolic diseases, have been ruled out.
一名30岁男性因反复出现急性起病且持续时间短暂的疲劳发作而转诊至我科，这些发作在转诊前3个月开始出现。他的血液检查、心电图（包括24小时监测）或头部MRI（包括血管造影）均未发现异常。他的生命体征无异常，体格检查也未发现异常。通过封闭式问题进行详细的病史询问发现，在发作前他的右手手指会出现刺痛感作为先兆。进行了脑电图检查，结果显示为局灶性癫痫。左乙拉西坦使他的症状得到缓解。在排除代谢疾病等潜在疾病后，医生可将非惊厥性癫痫视为病因不明的反复急性起病且持续时间短暂的疲劳发作的潜在原因。
