Jacome D E
Postgrad Med J. 1985 Jun;61(716):515-6. doi: 10.1136/pgmj.61.716.515.
A 52 year old female non-smoker with multiple sclerosis had a 10 year history of frequent diurnal and nocturnal spontaneous attacks of coughing, relapsing and remitting, with typical symptoms of her illness. Otolaryngeal evaluations failed to show any lesions or vocal cord paresis, and her cardiopulmonary examinations were normal. Her attacks were greatly improved by carbamazepine and valproate sodium. I suggest that tussive crisis constitutes a paroxysmal symptom in multiple sclerosis, amenable to treatment with anticonvulsant agents.
一名52岁患多发性硬化症的不吸烟女性,有10年日间和夜间频繁自发性咳嗽发作的病史,症状反复出现和缓解,具有该病的典型症状。耳鼻喉科检查未发现任何病变或声带麻痹,心肺检查正常。卡马西平和丙戊酸钠可使她的发作明显改善。我认为咳嗽危象是多发性硬化症的一种阵发性症状,可用抗惊厥药物治疗。