《急诊每日一题》舌咬伤部位对神智丧失鉴别诊断2021年7月
Question 问题:
Differentiating among seizure, syncope, and psychogenic nonepileptic seizure in a patient with transient LOC can be difficult. What is the significance of finding lateral tongue bites on exam? What about bite injuries limited to the tongue tip?
一个短暂神智丧失患者鉴别诊断(癫痫,晕厥,心理性非癫痫抽搐)是困难的。体检时发现舌侧面咬伤意义是什么?局限于舌尖部位咬伤又有什么意义?

Answer 答案:
Lateral tongue bites have been described as a specific finding of seizure. Bite injuries limited to the tip of the tongue have been observed with syncope, seizure and psychogenic nonepileptic seizure.
舌侧面咬伤被认为是癫痫的特异表现。而局限于舌尖部位咬伤可以出现在晕厥,癫痫,和心理性非癫痫抽搐。
参考文献:
Am J Neuroradiol, epub 6/11/21