Kline C A, Esekogwu V I, Henderson S O, Newton K I
Department of Emergency Medicine, LAC + USC Medical Center, Los Angeles, California 90033, USA.
J Emerg Med. 1998 Sep-Oct;16(5):715-8. doi: 10.1016/s0736-4679(98)00089-4.
Non-convulsive status epilepticus (NCSE), a neurological emergency, is reported to account for approximately 25% of patients presenting in status epilepticus. Diagnosis of NCSE can be delayed or missed because of its often subtle presentation. Hypocalcemia has rarely been reported as a precipitator of NCSE and thus should be considered in the differential. We report the case of a 46-year-old man with idiopathic hypoparathyroidism who presented in NCSE secondary to hypocalcemia. As in patients with convulsive status epilepticus, rapid diagnosis and treatment of patients in NCSE is critical to prevent permanent neurological damage.
非惊厥性癫痫持续状态（NCSE）是一种神经急症，据报道在癫痫持续状态患者中约占25%。由于其表现往往较为隐匿，NCSE的诊断可能会延迟或漏诊。低钙血症作为NCSE的诱发因素鲜有报道，因此在鉴别诊断时应予以考虑。我们报告一例46岁特发性甲状旁腺功能减退症男性患者，因低钙血症出现NCSE。与惊厥性癫痫持续状态患者一样，对NCSE患者进行快速诊断和治疗对于预防永久性神经损伤至关重要。
