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作者首次报道1例颞动脉炎(TA)昏迷伴EEG三相波,经激素治疗后迅速缓解。病例报告男性,26岁,因突然昏迷而入院。平素体健。入院前6个月出现头痛、弥散性肌肉疼痛,几周后突然出现面神经麻痹。根据头痛、面神经麻痹、贫血、血沉增快(>100mm/h)而诊断 TA。激素治疗后症状、体征完全消失。血沉、颞动脉活检亦正常。一个月后因病人出现精神症状而停用激素。停用激素2个月后,因突然出现意识障碍再度入院。体检:体温36.5℃,脉搏72次/分,血压160/100mmHg,昏迷,无局灶神经系统体征。实验室检查示血沉增快(50mm/h)。血常规、各项生化指标均正常,抗核抗体、类风湿因子阴性。CSF 检查和头颅 CT 检查均正
The authors first reported a case of temporal arteritis (TA) coma with EEG three-phase wave, the rapid relief after hormone therapy. Case report Male, 26 years old, admitted to hospital for sudden coma. Usually physical health. 6 months before admission, headache, diffuse muscular pain, a few weeks after the sudden appearance of facial paralysis. According to headache, facial paralysis, anemia, ESR (> 100mm / h) and the diagnosis of TA. After hormone therapy, symptoms disappeared completely. ESR, temporal artery biopsy is also normal. A month later disabled because of the patient’s psychiatric symptoms of hormones. 2 months after the withdrawal of hormones, re-admission due to sudden disturbance of consciousness. Physical examination: body temperature 36.5 ℃, pulse 72 beats / min, blood pressure 160 / 100mmHg, coma, no focal nervous system signs. Laboratory tests showed rapid erythrocyte sedimentation rate (50mm / h). Blood, the biochemical indicators were normal, anti-nuclear antibodies, rheumatoid factor-negative. CSF examination and head CT examination are positive