《急诊每日一题》ASE典型表现 2021年9月
Question 问题:
Absence status epilepticus is a form of nonconvulsive status epilepticus. Unlike most epileptic etiologies, ASE may not result in a grossly abnormal neurologic examination or obvious signs of seizure activity. How does ASE typically present?
失神性癫痫持续状态(ASE)是非抽搐性癫痫持续状态的一种。与许多癫痫不同,ASE不会出现异常神经系统检查或明显的抽搐表现。ASE典型表现是什么?
Answer 答案:
Patients appear aware but are disoriented and, rarely, agitated. The typical patient will be confused, yet responsive, in a ‘trance-like state’ with delayed speech, clumsy gait, and ability to perform simple tasks after prompting。
患者看起来是有意识的,但没有方向感,偶尔会有烦躁。典型患者将是神智恍惚,但有反应,处于一种话语迟缓,动作笨拙,但能够在提示下完成简单任务的“表演状态”。
参考文献:
JEM, epub 9/1/21