状态非性病患者
Ronen Spierer1, Moshe Herskovitz1,2
1Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.
概括
心理非发作 (PNES) 经常被误诊为状态 (SE). 如果尽管使用类 (BZD) 和抗发作药物 (ASM) 治疗,但发作仍然存在,请将PNES视为诊断.
科学领域:
- 神经学 神经学
- 临床神经生理学 临床神经生理学
背景情况:
- 非性状态 (SE) 涉及长时间的发作,通常与心理非性发作 (PNES) 混.
- 在PNES患者中错误诊断性SE可能导致不适当和无效的治疗方法.
研究的目的:
- 调查精神病原性非发作患者中性SE的错误诊断.
- 分析这些误诊病例的临床表现和治疗反应.
主要方法:
- 对13个事件的回顾性分析,涉及8名最初被诊断为性SE的患者.
- 评估临床表现,给予的治疗和患者对治疗的反应.
主要成果:
- 患者主要用类药物 (BZD) 和抗发作药物 (ASM) 治疗.
- 这种治疗在很大程度上是无效的,导致8名患者的气管管道输入.
- 对BZD和ASM的反应不佳表明了潜在的误诊.
结论:
- 在差异诊断中考虑心理非发作 (PNES),当发作事件没有通过二类药物 (BZD) 和抗药物 (ASM) 解决时.
- 标准SE治疗的无效性要求进一步调查PNES的潜在机制.
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