Title

Nonconvulsive Seizures in a Patient with Delayed Bifrontal Contusions Undergo Therapeutic Hypo-Thermia-Case Report

Translated Titles

延遲性雙側額部挫傷性出血的病患在接受低溫治療時出現非抽蓄性發作-病例報告

Authors

蔡泰欣(Tai-Hsin Tsai);林志隆(Chih-Lung Lin);龔瑞琛(Sui-Sum Kung)

Key Words

連續24小時腦波監測 ; 非抽搐性癲癇重積狀態 ; 低溫治療 ; 雙側額葉挫傷 ; Continuous Electroencephalography (cEEG) ; Non-convulsive status epilepsy (NCSE) ; Therapeutic hypothermia ; Bifrontal contusions

PublicationName

重症醫學雜誌

Volume or Term/Year and Month of Publication

14卷1期(2013 / 01 / 01)

Page #

15 - 22

Content Language

英文

Chinese Abstract

外傷性腦挫傷是一種臨床上常見的疾病類別,針對不同患者其預後也呈多樣化。前額葉位置的挫傷較容易迅速惡化,並導致嚴重的顱內高壓。在這種情況下,控制顱內壓的方法包括低溫治療和充分的鎮靜病患。在此我們報導一例遲發性雙側額葉挫傷,並導致術後出現頑固性顱內高壓。其顱內高壓並不受到低溫治療和其他醫療措施的控制。安排連續24小時腦波監測後,發現腦波呈持續癲癇的狀態。使用合適的抗癲癇治療後,病情獲得良好的改善。

English Abstract

The traumatic cerebral contusions is a common clinical entity but its prognosis varies among patients. The frontal location contusions are vulnerable to rapid deterioration and resulting in severe elevated intracranial hypertension. In this situation, the intracranial pressure is controlled by therapeutic hypothermia and fully sedation of patient. We reported a case of delayed bifrontal contusions resulting in postoperative refractory intracranial hypertension. It is not controlled by therapeutic hypothermia and other medical measures. The continuous electroencephalography showed nonconvulsive status epilepsy exists. The condition was well improved after appropriated antiepileptic treatment.

Topic Category 醫藥衛生 > 醫藥衛生綜合