单次癫痫发作后出现长时间昏迷和脑电图严重减弱。

Prolonged coma and severely attenuated EEG after a single seizure.

作者信息

Arnoldus E P, Bloem B R, van Dijk J G, Lammers G J

机构信息

Department of Neurology and Clinical Neurophysiology, Leiden University Hospital, The Netherlands.

出版信息

Epilepsia. 1998 Jun;39(6):669-70. doi: 10.1111/j.1528-1157.1998.tb01437.x.

DOI:10.1111/j.1528-1157.1998.tb01437.x

PMID:9637611

Abstract

A 63-year-old woman presented with a comatose state after a fall. Results of cranial computed tomography (CT) and magnetic resonance imaging (MRI) scans were normal. An EEG recorded 5 h after admission was very severely attenuated and slowed. Consciousness and EEG were improved the next day. No cause was detected initially. After sleep deprivation, the patient had a generalized seizure followed by a similar coma and EEG. Even a single seizure may cause a prolonged coma with a very severely attenuated and slowed EEG.

摘要

一名63岁女性在跌倒后出现昏迷状态。头颅计算机断层扫描（CT）和磁共振成像（MRI）检查结果均正常。入院5小时后记录的脑电图（EEG）显示极度衰减且变慢。第二天意识和脑电图有所改善。最初未检测到病因。睡眠剥夺后，患者发生全身性癫痫发作，随后出现类似的昏迷和脑电图表现。即使单次癫痫发作也可能导致长时间昏迷，并伴有脑电图极度衰减和变慢。