一名17岁的女性患者出现在我们医院,反复短暂的意识丧失持续不到10分钟。恢复意识后,她没有感到迷失方向,混乱,咬舌,或失禁。物理发现,验血,心电图,超声心动图未见明显异常。当被问及她是否经历过突然的快速身体运动时,她回答:“是的。\"因此,我们怀疑青少年肌阵挛性癫痫(JME)并获得了脑电图,显示了尖峰波复合体的弥漫性双侧爆发,确认诊断。在短暂失去意识的青少年患者中,对于JME的诊断,应积极确认肌阵挛性抽搐。
A 17-year-old female patient presented to our hospital with repeated transient loss of consciousness lasting less than 10 min. After regaining consciousness, she experienced no disorientation, confusion, tongue-biting, or incontinence. Physical findings, blood tests, electrocardiogram, and echocardiogram showed no obvious abnormalities. On being asked whether she had experienced sudden rapid body movements, she answered \"yes.\" Therefore, we suspected juvenile myoclonic epilepsy (JME) and obtained an electroencephalogram, which showed diffuse bilateral bursts of spike-and-wave complexes, confirming the diagnosis. In adolescent patients with transient loss of consciousness, myoclonic jerks should be actively confirmed for the diagnosis of JME.