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《急诊每日一题》舌咬伤部位对神智丧失鉴别诊断2021年7月

2021-07-23 16:27 作者:药法自然  | 我要投稿


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


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