可能是散发的克雅氏病,类似局灶性癫痫

Pei-Shan Hsiao , Yuan-Ming Lee , Fu-Sin Chu , Chao-Lin Lee , Fang-Chun Liu , Ping-Huang Tsai
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引用次数: 8

摘要

克雅氏病(CJD)的早期症状表现为癫痫发作,只有约3%的病例。这些癫痫发作通常表现为非惊厥性癫痫持续状态(NCSE)或部分持续性癫痫(EPC)。在这里,我们描述了一例可能是散发CJD (sCJD)的83岁男性,其表现为不寻常的左强张性癫痫发作,没有演变为EPC,以及脑MRI结果解释为周周改变,导致最初误诊为局灶性癫痫。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Probable sporadic Creutzfeldt–Jakob disease mimicking focal epilepsy

Probable sporadic Creutzfeldt–Jakob disease mimicking focal epilepsy

Probable sporadic Creutzfeldt–Jakob disease mimicking focal epilepsy

Creutzfeldt–Jakob disease (CJD) presents with seizures as an early symptom in only approximately 3% of cases. These seizures often present as nonconvulsive status epilepticus (NCSE) or epilepsia partialis continua (EPC). Here, we describe a case of probable sporadic CJD (sCJD) in an 83-year-old man whose manifest an unusual presentation of left-hand tonic seizures without evolution to EPC, as well as brain MRI findings interpreted as peri-ictal changes, which led to an initial misdiagnosis of focal epilepsy.

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