A Case of Repetitive Consciousness Disturbance with Hypercapnia due to Nonconvulsive Status Epilepticus in Klippel-Feil Syndrome

Nagasawa Hiroki, Dotare Taishi, Takeuchi Ikuto, Jitsuiki Kei, Madokoro Shunsuke, Takahashi Norihito, Ohsaka Hiromichi, Ishikawa Kouhei, Omori Kazuhiko, Y. Youichi
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Abstract

A 59-year-old female complained palpitation in the morning. She was found in unconsciousness by her family and transported to our department. Her past history was she had torticollis, unilateral renal agenesis and dextrocardia since her birth. She had limited range of motion of bilateral brachiums and left hand dysesthesia due to torticollis since over 50-years-old. On arrival, she was in coma state with severe hypoxia and hypercapnia. Initially, she underwent diagnosis of status epileptic and/or over dose inducing coma, acute lung failure and liver dysfunction.
Klippel-Feil综合征非惊厥性癫痫持续状态致重复性意识障碍伴高碳酸血症1例
59岁女性,上午主诉心悸。她的家人发现她不省人事后把她送到了我们部门。出生以来有斜颈、单侧肾发育不全、右心等病史。50多岁以来,双侧臂活动范围受限,因斜颈导致左手感觉不良。到达时,患者处于昏迷状态,伴有严重缺氧和高碳酸血症。最初,她被诊断为癫痫状态和/或过量致昏迷,急性肺衰竭和肝功能障碍。
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