Iritani Yusuke, Tani Makiko, Iga Shinji, Morimatsu Hiroshi
Department of Anesthesiology, Okayama Red Cross Hospital, 2-1-1, Aoe, Kita-Ku, Okayama, 700-8607, Japan.
Department of Anesthesiology and Resuscitology, Graduate School of Medicine Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1, Shikata-Cho, Kita-Ku, Okayama, 700-8558, Japan.
JA Clin Rep. 2025 May 29;11(1):30. doi: 10.1186/s40981-025-00790-z.
Non-convulsive status epilepticus (NCSE) is an electrical discharge which occurs without prominent motor symptoms. NCSE is one of the causes of delayed emergence from anesthesia; however, as far as we know, previous reports of postoperative NCSE were related to patients after neurological surgery. Herein, we report a case of an elderly male who developed initial NCSE after thoracic surgery. The patient remained unresponsive and developed hemiplegia after lung resection, and then the symptoms fluctuated between better and worse. Metabolic disorders and stroke were ruled out, and NCSE was diagnosed by magnetic resonance imaging (MRI) and electroencephalography (EEG). NCSE occurred in a patient who had no predisposing factors or underwent non-neurological surgery. When anesthesiologists encounter delayed emergence, NCSE should be listed as a differential diagnosis and examined by MRI and EEG.
非惊厥性癫痫持续状态（NCSE）是一种在无明显运动症状的情况下发生的放电现象。NCSE是麻醉后苏醒延迟的原因之一；然而，据我们所知，既往关于术后NCSE的报道均与神经外科手术后的患者有关。在此，我们报告一例老年男性患者，其在胸外科手术后出现了最初的NCSE。该患者在肺切除术后一直无反应，并出现了偏瘫，随后症状时好时坏。代谢紊乱和中风被排除，通过磁共振成像（MRI）和脑电图（EEG）诊断为NCSE。NCSE发生在一名无诱发因素且接受非神经外科手术的患者身上。当麻醉医生遇到苏醒延迟的情况时，应将NCSE列为鉴别诊断之一，并通过MRI和EEG进行检查。
