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在全身麻醉下拔出智慧牙后的外语综合征:一个病例报告
Andrew T Mathis1, Jakub F Pietrowski2, David Y Ahn3
1Chief of Oral and Maxillofacial Surgery, Misawa Air Base, Japan; Maj, USAF.
概括
外国语言综合征 (FLS) 是一种罕见的疾病,在麻醉后导致语言感知暂时变化. 这一案例突出了女性患者口腔手术后发生的FLS,强调了需要提高认识的必要性.
科学领域:
- 麻醉学 麻醉学
- 神经学 神经学
- 口腔和牙面部外科手术
背景情况:
- 外国语言综合征 (FLS) 是一种罕见的神经现象.
- 它的特点是麻醉后暂时固定第二语言.
- 此前仅报告了12例病例,女性患者或口腔和面外科手术 (OMS) 后没有记录的病例.
研究的目的:
- 提高人们对口腔和面外科手术 (OMS) 程序后外语综合征 (FLS) 的可能性的认识.
- 在OMS之后,报告在女性患者中第一个已知的FLS病例.
- 突出在这种外科背景下对FLS的诊断和管理方面的考虑.
主要方法:
- 一个健康的21岁女性患者的病例报告,在全身麻醉下接受智慧牙提取后患上了FLS.
- 对外语综合征现有文献的审查,重点关注报告的触发因素和患者人口统计数据.
- 在以前的FLS病例和当前病例中使用的麻醉剂的分析.
主要成果:
- 患者在术后出现了与外语综合征一致的症状.
- 这是第一个在女性患者中报告的FLS病例,也是第一个与口腔和面外科手术相关的病例.
- FLS发生在全身麻醉的背景下,之前的病例涉及挥发性麻醉剂或静脉镇静剂.
结论:
- 外国语言综合征虽然很少见,但在口腔和大面部手术后,即使在女性患者中,也可能发生.
- FLS似乎是自我限制的,通常在24小时内消失.
- 诊断可能具有挑战性,但通常不需要像中风评估这样的广泛检查;门诊随访是适当的.
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