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部分性发作继发全面性发作后的瘀点出血:非典型表现及鉴别诊断。

Petechial haemorrhage following a partial seizure with secondary generalization: atypical presentation and differential diagnosis.

作者信息

Lumsden J, Sulliman C, Dally J, West A, Fenwick P B, Fenton G W

机构信息

Department of Clinical Neurophysiology, Broadmoor Hospital, Crowthorne, Berkshire, UK.

出版信息

Seizure. 1994 Mar;3(1):73-5. doi: 10.1016/s1059-1311(05)80166-9.

DOI:10.1016/s1059-1311(05)80166-9
PMID:8044457
Abstract

A case is reported of a patient who had a respiratory arrest on a high dependency ward in a High Security Hospital with an unusual presentation. The patient had head and upper abdominal petechial haemorrhages with extensive conjunctival haemorrhaging. A considered antecedent for this potentially life-threatening presentation was strangulation. Analysis of all the available clinical information supports the hypothesis that he had a single tonic-clonic seizure with a focal-motor onset. This constitutes an unusual consequence of a partial seizure with secondary generalization.

摘要

报告了一例患者,该患者在一家高度戒备医院的高依赖病房发生呼吸骤停,表现异常。患者头部和上腹部有瘀点性出血,结膜广泛出血。对于这种可能危及生命的表现,一个经过深思熟虑的先前因素是勒颈。对所有可用临床信息的分析支持这样的假设,即他发生了一次以局灶性运动发作为起始的全身强直阵挛性癫痫发作。这构成了部分性癫痫发作继发全面性发作的一种异常后果。

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引用本文的文献

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Unusual appearance of facial petechiae and conjunctival hemorrhages: the trout phenomenon in a case of fatal subarachnoid hemorrhage due to ruptured berry aneurysm.面部瘀点和结膜出血的异常表现:一例因浆果样动脉瘤破裂导致致命性蛛网膜下腔出血的“鳟鱼现象”
Forensic Sci Med Pathol. 2016 Dec;12(4):520-522. doi: 10.1007/s12024-016-9815-8. Epub 2016 Oct 26.