Magarian G J, Olney R K
Am J Med. 1984 May;76(5):905-9. doi: 10.1016/0002-9343(84)91007-6.
Absence spells in adults have been recognized in association with disorders of excessive somnolence, transient ischemia of the temporal lobes, and seizure disorders. A 66-year-old man who presented with a history of absence spells for more than 20 years is described. After diagnosis of a hyperventilation syndrome without an associated seizure disorder, educational and behavioral therapy without the use of medication has produced a long, continuing remission of these spells. The hyperventilation syndrome continues to present in many ways, often without recognition by physicians for prolonged periods. The case presented exemplifies this problem and may be the first report of absence spells caused by hyperventilation.
成人失神发作已被认为与过度嗜睡障碍、颞叶短暂性缺血及癫痫发作障碍有关。本文描述了一名66岁男性,有超过20年的失神发作病史。在诊断为无相关癫痫发作障碍的换气过度综合征后,未使用药物的教育和行为疗法使这些发作得到了长期持续缓解。换气过度综合征仍以多种方式存在,常常长期未被医生识别。本文所举病例例证了这一问题,可能是关于换气过度引起失神发作的首例报告。