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颞叶癫痫发作与职业性溶剂暴露。

Temporal epileptic seizures and occupational exposure to solvents.

作者信息

Jacobsen M, Baelum J, Bonde J P

机构信息

Department of Occupational Medicine, University Hospital of Arhus, Denmark.

出版信息

Occup Environ Med. 1994 Jun;51(6):429-30. doi: 10.1136/oem.51.6.429.

DOI:10.1136/oem.51.6.429
PMID:8044237
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1128001/
Abstract

Long term exposure to organic solvents is usually not considered as a possible cause of chronic epileptic seizures. A case that shows a remarkable coincidence between exposure to organic solvents and occurrence of epileptic seizures is reported. The man was a 58 year old sign writer with lifelong exposure to a mixture of organic solvents (mainly cyclohexanone, white spirit, and isopropanol). Epileptic seizures of temporal type were occurring in relation to solvent exposure. The seizures disappeared shortly after stopping exposure but returned just after a short term re-exposure to cyclohexanone. The case history suggests that exposure to organic solvents may elicit or maintain epileptic seizures despite medical treatment.

摘要

长期接触有机溶剂通常不被认为是慢性癫痫发作的可能原因。本文报告了一例有机溶剂暴露与癫痫发作之间存在显著巧合的病例。该男子为一名58岁的招牌书写工,终生接触有机溶剂混合物(主要是环己酮、白酒精和异丙醇)。与溶剂暴露相关的颞叶型癫痫发作时有发生。停止接触后癫痫发作很快消失,但在短期再次接触环己酮后又复发。该病例史表明,尽管进行了药物治疗,但接触有机溶剂可能引发或维持癫痫发作。

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本文引用的文献

1
Neurophysiological aspects of the toxicity of organic solvents.
Scand J Work Environ Health. 1985;11 Suppl 1:61-4.
2
Power spectrum analysis of EEG at diagnosis and follow up of patients with solvent induced chronic toxic encephalopathy.溶剂所致慢性中毒性脑病患者诊断及随访时脑电图的功率谱分析
Br J Ind Med. 1988 Jul;45(7):476-82. doi: 10.1136/oem.45.7.476.
3
Focal epilepsy and exposure to organic solvents: a case-referent study.局灶性癫痫与有机溶剂暴露:一项病例对照研究。
J Occup Med. 1988 Oct;30(10):805-8. doi: 10.1097/00043764-198810000-00011.
4
Neurophysiological effects of long-term exposure to a mixture of organic solvents.长期暴露于有机溶剂混合物的神经生理效应
Scand J Work Environ Health. 1978 Dec;4(4):304-14. doi: 10.5271/sjweh.2695.
5
Long-term exposure to jet fuel. II. A cross-sectional epidemiologic investigation on occupationally exposed industrial workers with special reference to the nervous system.长期接触喷气燃料。II. 对职业暴露的产业工人进行的横断面流行病学调查,特别关注神经系统。
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