非癫痫发作误诊为癫痫发作32例临床分析  

Clinical analysis of 32 patients with non-epileptic seizures passed for epileptic seizures

作　　者：李玉生[1] 黄圣明[1] 黄希顺[1] 

机构地区：[1]郑州大学第一附属医院神经内科,郑州450052

出　　处：《医药论坛杂志》2011年第17期48-49,51,共3页Journal of Medical Forum

摘　　要：目的分析非癫痫发作误诊为癫痫发作的原因及特点,以提高癫痫的诊断水平,减少误诊误治。方法回顾性分析32例非癫痫发作性疾病被误诊为癫痫的临床资料。结果 32例中,7例为晕厥,6例为精神性发作,4例为阵发性运动诱发性运动障碍,4例为偏头痛,4例为睡眠障碍,3例为急性焦虑发作,2例为抽动-秽语综合症,甲状旁腺功能减退症、低血糖发作各1例。结论临床医生对于癫痫的鉴别应该有足够的认识,诊断一定要慎重,否则不但耽误治疗,还将给患者及其亲属带来不必要的心理和经济负担。Objective To investigate the causes and clinical characteristics of non-epileptic seizures misdiagnosed as epileptic seizures.Methods Clinical data of 32 patients with non-epileptic seizures misdiagnosed as epileptic seizures were analyzed retrospectively.Results Among 32 patients,7 were syncope,6 were psychic seizure,4 were paroxysmal kinesigenic choreoathetosis,4 were migraine,4 were sleep disorder,3 were acute anxiety attack,2 were tourette syndrome,and hypoparathyroidism,hypoglycemia attack was 1 case respectively.Conclusions Clinical doctors should attach much importance to epileptic discrimination;Diagnosis of epilepsy must be prudent,otherwise,it not only delayed treatment,but also brought about psychological and economic burden for the patients themselves and their relatives.

关 键 词：非癫痫发作 癫痫发作 误诊 

分 类 号：R742.1[医药卫生—神经病学与精神病学]