Soslow A R
Ann Emerg Med. 1984 Apr;13(4):290-2. doi: 10.1016/s0196-0644(84)80481-3.
A 30-year-old woman presented to the emergency department after an episode of "dizziness" that caused her to lose control of her car. During the preceding 12-month period she had had recurrent "dizzy" spells and abdominal pains for which she was evaluated by several physicians in various emergency departments. Physical and general neurological examination on presentation was within normal limits. Outpatient CT scan was normal, and an EEG revealed a right temporal lobe spike with slow wave pattern suggestive of temporal lobe focus. Since begun on therapeutic doses (300 mg per day of phenytoin), the patient has not experienced further spells or abdominal pains. This report emphasizes the need to be cognizant of an underlying seizure disorder as a possible etiologic agent responsible for a traumatic incident.
一名30岁女性在经历一次“头晕”发作后驾车失控，随后被送往急诊科。在之前的12个月里，她反复出现“头晕”发作和腹痛，为此她在多家急诊科接受了多位医生的评估。就诊时的体格检查和一般神经系统检查均在正常范围内。门诊CT扫描正常，脑电图显示右颞叶有尖波伴慢波模式，提示颞叶病灶。自从开始服用治疗剂量（每天300毫克苯妥英钠）后，患者未再出现发作或腹痛。本报告强调需要认识到潜在的癫痫发作障碍可能是导致创伤事件的病因。
