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全身麻醉后偏瘫:偏头痛的一种不寻常表现。

Hemiplegia following general anaesthesia: an unusual presentation of migraine.

作者信息

Thurlow J A

机构信息

Derriford Hospital, Plymouth, UK.

出版信息

Eur J Anaesthesiol. 1998 Sep;15(5):610-2. doi: 10.1046/j.1365-2346.1998.00368.x.

DOI:10.1046/j.1365-2346.1998.00368.x
PMID:9785080
Abstract

We report the case of a 33-year-old woman who developed a dense hemiplegia immediately after an uncomplicated general anaesthetic for diagnostic laparoscopy. She had a history of recurrent hemiplegic migraine with a strong family history. Her migraine was normally associated with visual disturbances and a unilateral headache followed by a left-sided weakness such that she was unable to walk. Symptoms would last up to 24 h. Her post-operative state was atypical of her normal migraine, in that she had no headache or visual disturbance and initially all four limbs were affected.

摘要

我们报告了一例33岁女性的病例,该患者在接受诊断性腹腔镜检查的简单全身麻醉后立即出现严重偏瘫。她有复发性偏瘫性偏头痛病史,家族史明显。她的偏头痛通常伴有视觉障碍和单侧头痛,随后出现左侧无力,以至于无法行走。症状可持续长达24小时。她的术后状态与她正常的偏头痛不同,因为她没有头痛或视觉障碍,最初四肢均受影响。

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