Klein Daniel J, Rose Emily
Los Angeles General Medical Center, Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California.
Clin Pract Cases Emerg Med. 2024 Feb;8(1):5-8. doi: 10.5811/cpcem.1359.
Seizures are a common presenting complaint and account for approximately 1% of total emergency department (ED) visits. Seizures are especially common in children less than five years old as they have a lower seizure threshold as compared to adults. One potentially dangerous etiology that is far less common, especially in children, is thyroid storm, the extreme manifestation of hyperthyroidism.
We describe the case of a 3-year-old girl who presented to the ED with an afebrile seizure but was found to be in thyroid storm. This case should serve as a reminder for emergency physicians to consider thyroid disease when evaluating patients presenting with seizures.
Although most pediatric seizures are self-limited and frequently benign, it is imperative that the emergency physician evaluate for and rule out any potentially associated dangerous conditions such as thyroid storm.
癫痫发作是常见的就诊主诉，约占急诊科就诊总数的1%。癫痫发作在5岁以下儿童中尤为常见，因为与成人相比，他们的癫痫发作阈值较低。一种潜在危险的病因，尤其是在儿童中极为罕见的，是甲状腺风暴，即甲状腺功能亢进的极端表现。
我们描述了一名3岁女孩的病例，她因无热惊厥到急诊科就诊，但被发现处于甲状腺风暴状态。该病例应提醒急诊医生，在评估癫痫发作的患者时要考虑甲状腺疾病。
虽然大多数小儿癫痫发作是自限性的，且通常是良性的，但急诊医生必须评估并排除任何潜在相关的危险情况，如甲状腺风暴。
