在急诊室接受治疗的阿法斯状态患者:两例病例的报告
Yuichiro Inatomi1, Makoto Nakajima2, Toshiro Yonehara3
1Neruology, Saiseikai Kumamoto Hosiptal, Kumamoto, JPN.
形状态 (ASE) 呈现如中风,需要立即使用二治疗. 对疑似ASE的及时干预可以预防持久的神经缺陷.
科学领域:
- 神经学 神经学
- 发病学 (Epileptology) 是一个专业的学科.
- 神经成像是一种神经成像.
背景情况:
- 阿法斯状态 (ASE) 的临床特征还没有得到很好的定义.
- ASE可以模仿急性中风,可能导致诊断和治疗延迟.
- 了解ASE对于及时有效的患者管理至关重要.
研究的目的:
- 描述两个患有ASE的患者的临床表现和诊断发现.
- 强调快速诊断和治疗ASE的重要性.
- 为疑似ASE提出立即治疗策略.
主要方法:
- 两名患者的病例报告呈现出失言症和状态.
- 电脑电图 (EEG) 用于评估活动.
- 单光子发射计算机断层扫描 (SPECT) 用于 perfusion 成像.
- 磁共振成像 (MRI) 与扩散加权成像 (DWI) 排除缺血性中风.
主要成果:
- 确定了两个ASE病例,具有不同的EEG和SPECT发现.
- 两位患者在治疗状态后都出现了症状缓解.
- 一名患者在2.5年后出现了ASE复发,也随着治疗而消失.
结论:
- 应将ASE视为一种模仿中风,需要紧急评估.
- 对于疑似ASE,建议立即使用二类药物治疗,特别是当MRI (包括DWI) 排除缺血性中风时.
- 对ASE的及时干预可以防止潜在的长期后果.
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