Status Epilepticus as an Initial Presentation of Brugada Syndrome: A Case Report

Brugada症候群以癲癇重積狀態為初始表現

黃健秋(Chen-Chiu Huang) ； 陳天文(Tien-Wen Chen) ； 林峰正(Feng-Chen Lin) ； 黃茂雄(Mao-Hsiung Huang)

《The Kaohsiung Journal of Medical Sciences》 21卷8期 (2005/08) Pp. 387-391

摘要

病人以全身抽搐為臨床表現時，有時會被不適當地以癲癇來治療，儘管原因可能是心臟疾病。Brugada症候群具有發展致命性心律不整的高危險性，是一種罕見的疾病，具特有的心電圖特徵。此症候群的臨床表現多是不明原因的昏厥或猝死。癲癇是此症候群不常見的臨床表現，而癲癇重積狀態更是極少。本篇文章報告一位男性在急救後具有此症候群典型的心電圖特徵，他是以癲癇重積狀態為初始表現。

關鍵字

Brugada症候群 ； 癲癇重積狀態

並列摘要

Patients presenting with convulsions are sometimes incorrectly treated for epilepsy, as these symptoms may be manifestations of underlying cardiac disease. Brugada syndrome, associated with an elevated risk of developing fatal arrhythmic events, is a rare disorder characterized by a unique electrocardiographic pattern. The typical clinical presentation mainly involves syncope of unclear cause or sudden death. Seizures are uncommon clinical manifestations of Brugada syndrome, and reports of status epilepticus as initial presentation of Brugada syndrome are extremely rare. In this case report, we present a male patient with a typical pattern on 12-lead electrocardiography, following resuscitation for generalized convulsive status epilepticus.

並列關鍵字

Brugada syndrome ； status epilepticus