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丙泊酚、癫痫发作与脑电图中的全身性阵发性快速活动。

Propofol, seizures and generalized paroxysmal fast activity in the EEG.

作者信息

Nowack W J, Jordan R

机构信息

Department of Neurology, University of South Alabama, Mobile 36617.

出版信息

Clin Electroencephalogr. 1994 Jul;25(3):110-4. doi: 10.1177/155005949402500308.

DOI:10.1177/155005949402500308
PMID:8088014
Abstract

Propofol is a relatively new anesthetic agent used in outpatient surgery. Some investigators use it in the treatment of status epilepticus and in epilepsy surgery and have concluded that propofol has an anticonvulsant effect. Cases of seizure-like behaviors, myoclonus and opisthotonus following propofol anesthesia have been reported. Although rare, official warnings about this association have been issued. Different EEG abnormalities, and no abnormality, have been associated with propofol. We report a case of a healthy man who developed nonconvulsive seizures and generalized paroxysmal fast activity in his EEG following use of propofol for anesthesia.

摘要

丙泊酚是一种用于门诊手术的相对较新的麻醉剂。一些研究人员将其用于治疗癫痫持续状态和癫痫手术,并得出结论认为丙泊酚具有抗惊厥作用。有报告称,丙泊酚麻醉后出现了癫痫样行为、肌阵挛和角弓反张的病例。尽管罕见,但已发布了关于这种关联的官方警告。丙泊酚与不同的脑电图异常以及无异常情况有关。我们报告一例健康男性在使用丙泊酚麻醉后出现非惊厥性癫痫发作和脑电图广泛性阵发性快活动的病例。

相似文献

1
Propofol, seizures and generalized paroxysmal fast activity in the EEG.丙泊酚、癫痫发作与脑电图中的全身性阵发性快速活动。
Clin Electroencephalogr. 1994 Jul;25(3):110-4. doi: 10.1177/155005949402500308.
2
Electroencephalography of Seizure-Like Movements During General Anesthesia with Propofol: Seizures or Nonepileptic Events?丙泊酚全身麻醉期间类癫痫样运动的脑电图:癫痫发作还是非癫痫事件?
A A Case Rep. 2015 Dec 1;5(11):195-8. doi: 10.1213/XAA.0000000000000212.
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Seizures associated with propofol anesthesia.与丙泊酚麻醉相关的癫痫发作。
Epilepsia. 1993 Sep-Oct;34(5):832-5. doi: 10.1111/j.1528-1157.1993.tb02098.x.
4
Propofol withdrawal seizures: non-epileptic nature of seizures in a patient with recently controlled status epilepticus.异丙酚戒断发作:近期癫痫持续状态得到控制的患者发作的非癫痫性质。
Epileptic Disord. 2011 Mar;13(1):107-10. doi: 10.1684/epd.2011.0404.
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Seizure-like phenomena and propofol: a systematic review.癫痫样现象与丙泊酚:一项系统综述
Neurology. 2002 May 14;58(9):1327-32. doi: 10.1212/wnl.58.9.1327.
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[Seizures and opistotonus after propofol anesthesia. A possible connection].[异丙酚麻醉后出现癫痫发作和角弓反张。一种可能的关联]
Ugeskr Laeger. 1990 Mar 12;152(11):748-9.
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Generalized paroxysmal fast activity and tonic seizures in older adults.老年人的泛发性阵发快活动和强直发作。
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The effect of propofol-remifentanil anesthesia on selected seizure quality indices in electroconvulsive therapy.丙泊酚-瑞芬太尼麻醉对电抽搐治疗中选定癫痫发作质量指数的影响。
Brain Stimul. 2012 Jul;5(3):402-407. doi: 10.1016/j.brs.2011.06.008. Epub 2011 Jul 26.
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Seizures and opisthotonos after propofol anesthesia.丙泊酚麻醉后出现癫痫发作和角弓反张。
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Effect of propofol on seizure-like phenomena and electroencephalographic activity in children with epilepsy vs children with learning difficulties.丙泊酚对癫痫患儿与学习困难患儿癫痫样发作现象及脑电图活动的影响。
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引用本文的文献

1
Propofol effectively inhibits lithium-pilocarpine- induced status epilepticus in rats via downregulation of N-methyl-D-aspartate receptor 2B subunit expression.丙泊酚通过下调N-甲基-D-天冬氨酸受体2B亚基的表达有效抑制锂-匹罗卡品诱导的大鼠癫痫持续状态。
Neural Regen Res. 2012 Apr 15;7(11):827-32. doi: 10.3969/j.issn.1673-5374.2012.11.005.
2
Sudden unexpected sneezing during the insertion of peribulbar block under propofol sedation.在丙泊酚镇静下进行球周阻滞注射时突然意外打喷嚏。
Can J Anaesth. 1995 Aug;42(8):740-3. doi: 10.1007/BF03012675.