在结核性脑膜炎中出现状态
Jayantee Kalita1, Firoz M Nizami1, Rabindra Kumar1
1Department of Neurology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Raebareli, Road, Lucknow, Uttar Pradesh 226014, India.
Epilepsy & behavior : E&B
|August 24, 2024
概括
结核性脑膜炎 (TBM) 中的状态 (SE) 是不常见的,有6.9%的患者经历了它. 许多病例是耐火或超耐火,导致不良结果和高死亡率.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 结核性脑膜炎 (TBM) 是一种严重的感染,关于相关状态 (SE) 的数据有限.
- 了解TBM中的SE对于改善患者管理和结果至关重要.
研究的目的:
- 研究结核性脑膜炎 (TBM) 患者的状况 (SE) 的半位学,治疗反应和结果.
主要方法:
- 对2015年8月至2023年3月期间入院的143名TBM患者的回顾性分析.
- 详细记录临床,脑脊液,MRI和脑电图的发现.
- SE类型的分类,发病,抗发作药物 (ASM) 的要求和患者的结果.
主要成果:
- 10名患者 (6.9%) 患有SE,年龄在12至45岁之间.
- 核磁共振扫描显示了各种并发症,包括排泄物,脑水,心脏病发作和结核瘤.
- 40%的患者死亡,在6个月内只有20%的患者恢复良好,耐火和超耐火的SE导致了糟糕的结果.
结论:
- 在TBM中, status epilepticus是一种罕见但严重的并发症.
- 耐火性和超耐火性SE在TBM患者中很常见,与显著的发病率和死亡率有关.
- 需要改善SE在TBM中的管理策略,以改善患者的预后.
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