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失血性休克病例中的假周期性阵发性放电

Pseudoperiodic paroxysmal discharge in a case of hemorrhagic shock.

作者信息

Bindi A, Rossi L, de Scisciolo G, Zappoli F, Ammannati F, Zappoli R

出版信息

Ital J Neurol Sci. 1984 Dec;5(4):447-50. doi: 10.1007/BF02042630.

Abstract

We report a case of hemorrhagic shock associated with an EEG pattern resembling pseudoperiodic lateralized paroxysmal discharges, repeated focal motor seizures on the opposite side of the prevalent EEG abnormalities and consciousness disturbances in the absence of a demonstrable cerebral lesion occurring in a 45 year-old woman without a personal or familial history of epilepsy. This unusual electroclinical picture appeared inexplicably several days after the hemorrhagic shock when the laboratory data had already normalized. The only cause of this picture seemed to be brain hypoxia and the metabolic disorders consequent upon hemorrhagic shock.

摘要

我们报告了一例出血性休克病例,该病例伴有类似假周期性偏侧阵发性放电的脑电图模式、在脑电图主要异常对侧反复出现的局灶性运动性癫痫发作以及意识障碍,而在一名无癫痫个人或家族史的45岁女性中未发现明显的脑病变。这种不寻常的电临床症状在出血性休克数天后莫名其妙地出现,此时实验室数据已经恢复正常。造成这种症状的唯一原因似乎是脑缺氧以及出血性休克导致的代谢紊乱。

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