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首页> 美国卫生研究院文献>Journal of Epilepsy Research >Two Patients Diagnosed with Juvenile Myoclonic Epilepsy by First-Ever Status Epilepticus in Adult Life
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Two Patients Diagnosed with Juvenile Myoclonic Epilepsy by First-Ever Status Epilepticus in Adult Life

机译：成人生活中首次出现癫痫持续状态诊断为两名少年性肌阵挛性癫痫

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Juvenile myoclonic epilepsy (JME) is an idiopathic, age-related generalized epileptic syndrome. Status epilepticus (SE) in JME is very rare, and little is known about its etiology. We report 2 cases of adult patients, retrospectively diagnosed as JME by non convulsive status epilepticus which occurred for the first time. One patient was a 52-year-old woman who was presented with confusion and brief generalized tonic-clonic seizure (GTCS) for the first time. The other patient, a 39 year-old woman, visited the ER with transient LOC following confused mental state. Electroencephalograms of both patients repetitively showed generalized polyspikes and slow waves which were disappeared after IV injection of lorazepam. With careful history taking, both of them the patients were diagnosed as JME, and the seizures stopped just after sodium valproate medication. NCSE in patients with JME is rare but detailed history taking and suspicion of the disorder is helpful for diagnosis.
机译：少年性肌阵挛性癫痫（JME）是一种特发性，与年龄相关的全身性癫痫综合症。 JME中的癫痫持续状态（SE）非常罕见，对其病因知之甚少。我们报告了2例成年患者，首次通过非惊厥性癫痫持续状态回顾性诊断为JME。一名患者是一名52岁的女性，她首次出现混乱并短暂性的全身性强直阵挛性癫痫发作（GTCS）。另一名患者是一名39岁的女性，在精神状态混乱后，曾短暂性LOC就诊于ER。两名患者的脑电图反复显示全身性多刺和慢波，静脉注射劳拉西m后消失。仔细记录病史，他们俩均被诊断为JME，丙戊酸钠用药后癫痫发作立即停止。 JME患者的NCSE很少见，但详细的病史记录和对该病的怀疑有助于诊断。

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