反复假性发作被错误地当作癫痫持续状态处理。
Repetitive pseudoseizures incorrectly managed as status epilepticus.
作者信息
Levitan M, Bruni J
出版信息
CMAJ. 1986 May 1;134(9):1029-31.
Abstract
Pseudoseizures should be considered in the differential diagnosis of intractable seizures. Incorrect diagnosis may result in incorrect management, with the patient unnecessarily exposed to side effects of drugs. The authors report on three patients who presented with uncontrolled seizures originally diagnosed and managed as status epilepticus. Electroencephalography performed during provoked attacks led to a diagnosis of pseudoseizures. Psychiatric assessment revealed psychologic disorders. The patients received supportive therapy, and the pseudoseizures stopped.
摘要
在难治性癫痫的鉴别诊断中应考虑假性癫痫发作。误诊可能导致治疗不当，使患者不必要地暴露于药物副作用之下。作者报告了三名最初被诊断为癫痫持续状态并接受治疗但癫痫发作未得到控制的患者。在诱发发作期间进行的脑电图检查确诊为假性癫痫发作。精神科评估发现了心理障碍。这些患者接受了支持性治疗，假性癫痫发作停止。
相似文献
1
Repetitive pseudoseizures incorrectly managed as status epilepticus.反复假性发作被错误地当作癫痫持续状态处理。
CMAJ. 1986 May 1;134(9):1029-31.
2
[Nonconvulsive status epilepticus].[非惊厥性癫痫持续状态]
Duodecim. 1990;106(11):886-8.
3
Recurrent aphasic status epilepticus after prolonged generalized tonic-clonic seizures versus a special feature of Todd's paralysis.持续性失语状态癫痫发作后长时间全身性强直阵挛性发作与 Todd 麻痹的特殊特征。
Epilepsy Behav. 2011 Jan;20(1):132-7. doi: 10.1016/j.yebeh.2010.11.001. Epub 2010 Dec 4.
4
Clinical characteristics of psychogenic nonepileptic seizure status in the long-term monitoring unit.长期监测病房中的心因性非癫痫性发作持续状态的临床特征
Epilepsy Behav. 2006 Sep;9(2):335-8. doi: 10.1016/j.yebeh.2006.06.007. Epub 2006 Jul 26.
5
Psychogenic seizures mimicking juvenile myoclonic epilepsy: case reports.模仿青少年肌阵挛癫痫的心因性发作：病例报告
Seizure. 2001 Apr;10(3):208-11. doi: 10.1053/seiz.2000.0488.
6
Emergent EEG in clinical practice.临床实践中的急诊脑电图
Clin Neurophysiol. 2007 Oct;118(10):2149-55. doi: 10.1016/j.clinph.2007.07.003. Epub 2007 Aug 20.
7
Prolonged postictal stupor: nonconvulsive status epilepticus, medication effect, or postictal state?癫痫发作后长时间昏迷：非惊厥性癫痫持续状态、药物作用还是癫痫发作后状态？
Epilepsy Behav. 2005 Nov;7(3):548-51. doi: 10.1016/j.yebeh.2005.06.018. Epub 2005 Sep 27.
8
Role of intravenous levetiracetam in acute seizure management of children.静脉注射左乙拉西坦在儿童急性癫痫发作管理中的作用。
Pediatr Neurol. 2009 Jul;41(1):37-9. doi: 10.1016/j.pediatrneurol.2009.02.016.
9
Psychogenic status epilepticus in children.儿童心因性癫痫持续状态
Epilepsy Behav. 2004 Aug;5(4):539-46. doi: 10.1016/j.yebeh.2004.04.011.
10
Detection and treatment of refractory status epilepticus in the intensive care unit.重症监护病房中难治性癫痫持续状态的检测与治疗。
J Clin Neurophysiol. 2008 Aug;25(4):181-6. doi: 10.1097/WNP.0b013e31817be70e.
引用本文的文献
1
Hiding in plain sight? A review of post-convulsive leukocyte elevations.隐匿于众目睽睽之下？惊厥后白细胞升高的综述。
Front Neurol. 2022 Nov 2;13:1021042. doi: 10.3389/fneur.2022.1021042. eCollection 2022.
2
Pseudoseizures: a real problem!假性发作：一个真实存在的问题！
Can Fam Physician. 1987 Mar;33:755-63.
本文引用的文献
1
PSEUDOSEIZURES: A PROBLEM IN THE DIAGNOSIS AND MANAGEMENT OF EPILEPTIC PATIENTS.假性癫痫：癫痫患者诊断与管理中的一个问题。
Neurology. 1964 Jan;14:41-9. doi: 10.1212/wnl.14.1.41.
2
Status epilepticus. Causes, clinical features and consequences in 98 patients.癫痫持续状态。98例患者的病因、临床特征及后果
Am J Med. 1980 Nov;69(5):657-66. doi: 10.1016/0002-9343(80)90415-5.
3
Evaluation of childhood pseudoseizures using EEG telemetry and video tape monitoring.利用脑电图遥测和录像监测对儿童假性癫痫发作进行评估。
J Pediatr. 1980 Oct;97(4):554-8. doi: 10.1016/s0022-3476(80)80008-4.
4
Diagnosis of hysterical seizures in epileptic patients.癫痫患者中癔症性发作的诊断。
Am J Psychiatry. 1980 Jun;137(6):705-9. doi: 10.1176/ajp.137.6.705.
5
Psychogenic pseudoseizures in non-epileptic patients.非癫痫患者的心因性假性癫痫发作。
Can J Psychiatry. 1982 Aug;27(5):401-4. doi: 10.1177/070674378202700508.
6
Psychogenic seizures. A study of 42 attacks in six patients, with intensive monitoring.心因性癫痫发作。对6例患者的42次发作进行了强化监测的研究。
Arch Neurol. 1982 Apr;39(4):202-9. doi: 10.1001/archneur.1982.00510160008002.
7
Management of hysterical seizures in epileptic patients.癫痫患者癔症性发作的管理。
Arch Neurol. 1982 Feb;39(2):78-81. doi: 10.1001/archneur.1982.00510140012003.
8
Pseudo problems pseudoseizures.假性问题 假性癫痫发作
Br J Hosp Med. 1983 Apr;29(4):326-33.
9
Pseudoseizures: ictal phenomena.假性癫痫发作：发作期现象。
Neurology. 1982 Jan;32(1):24-30. doi: 10.1212/wnl.32.1.24.
10
Serum prolactin and cortisol levels in evaluation of pseudoepileptic seizures.血清催乳素和皮质醇水平在假性癫痫发作评估中的作用
Ann Neurol. 1985 Jul;18(1):87-9. doi: 10.1002/ana.410180115.
Zotero 插件