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五年内电子烟使用引发的三次癫痫发作:一例病例报告

Three Seizures Provoked by E-cigarette Use in a Five-Year Period: A Case Report.

作者信息

Liu-Zarzuela Jasmine A, Sun Ruiqing

机构信息

Neurology, University of Texas Medical Branch, Galveston, USA.

出版信息

Cureus. 2022 Aug 2;14(8):e27616. doi: 10.7759/cureus.27616. eCollection 2022 Aug.

Abstract

We report a case of three seizures provoked by e-cigarette use (vaping) within the time span of five years from youth to young adult. At presentation, the neurological exam was unremarkable. Computerized tomography (CT) of the head, magnetic resonance image (MRI) of the brain, electroencephalograms (EEG), electrocardiogram (EKG), and transthoracic echocardiogram (TTE) were normal. Multiple toxicology screens were normal as well. Each seizure occurred within minutes of vaping, thereby suggesting a temporal association and a possible causal relationship between e-cigarettes and seizures.

摘要

我们报告了一例在从青少年到青年的五年时间跨度内,因使用电子烟引发三次癫痫发作的病例。就诊时,神经系统检查无异常。头部计算机断层扫描(CT)、脑部磁共振成像(MRI)、脑电图(EEG)、心电图(EKG)和经胸超声心动图(TTE)均正常。多次毒理学筛查也正常。每次癫痫发作都发生在吸电子烟后的几分钟内,因此提示电子烟与癫痫发作之间存在时间关联和可能的因果关系。

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本文引用的文献

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Cardiovascular consequences of vaping.吸电子烟对心血管系统的影响。
Curr Opin Cardiol. 2022 May 1;37(3):227-235. doi: 10.1097/HCO.0000000000000952. Epub 2022 Jan 31.
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Seizures and Vaping-A Report of Two Cases.癫痫发作与蒸气吸入:两例报告。
Mil Med. 2023 May 16;188(5-6):e1307-e1309. doi: 10.1093/milmed/usab270.
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Vaping in adolescents: epidemiology and respiratory harm.青少年吸电子烟:流行病学和呼吸道危害。
Curr Opin Pediatr. 2020 Jun;32(3):378-383. doi: 10.1097/MOP.0000000000000896.
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Trends in Adolescent Vaping, 2017-2019.2017 - 2019年青少年电子烟使用趋势
N Engl J Med. 2019 Oct 10;381(15):1490-1491. doi: 10.1056/NEJMc1910739. Epub 2019 Sep 18.

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