癫痫综合征被误诊为病毒性脑炎的临床因素分析

Analysis of the Clinical Factors Related to Epilepsy Syndrome Misdiagnosed as Viral Encephalitis

目的探讨与分析癫痫综合征被误诊为病毒性脑炎的主要临床因素。方法将2011年9月—2013年9月于该院接受治疗的90例癫痫综合征患者作为研究对象,回顾性分析其临床资料,提示其中6例患者被误诊为病毒性脑炎,分析误诊原因,检查相关指标,随后实施基础的抗癫痫治疗,对比治疗前后患者的各项指标恢复情况。结果 2例患者主要由脑电图检测存在失误造成,2例患者由于忽略治疗前的常规检查而引起误诊,剩余2例患者则主要由于临床医师匮乏对患者临床资料实施综合分析所致误诊。结论为避免误诊,降低癫痫综合征被误诊为病毒性脑炎的几率,必须详细询问患者及其家族的具体病史,确定优先考虑的疾病类型。同时需结合患者的临床资料,发病史等内容对患者进行综合检查,引入新型的医疗检测方案,以提高检测的准确性。

Objective To investigate and analyze the main clinical factors related to epilepsy syndrome misdiagnosed as viral encephalitis. Methods 90 patients with epilepsy syndrome treated in our hospital from September 2011 to September 2013 were selected as the subjects. The retrospective analysis of the clinical data of them indicated that 6 patients were misdiagnosed as viral encephalitis, then the reason of misdiagnosis was analyzed, the relevant indexes were checked, and the basic anti-epilepsy treatment was implemented. The recoveries of various indexes of the patients before and after treatment were compared. Results The misdiagnosis of 2 patients was caused by the fault in the EEG detection, and that of 2 patients was caused by neglecting the routine examination before treatment, and the remaining 2 cases were misdiagnosed mainly because the clinicians lacked the comprehensive analysis of the clinical data of the patients. Conclusion In order to avoid misdiagnosis and reduce the probability that epilepsy syndrome is misdiagnosed as viral encephalitis, the specific history of patients and their family should be inquired in detail, and the differential diagnosis is determined. Moreover, the patients should be given comprehensive check based on the clinical data and disease history, and new medical detection scheme should be introduced so as to improve the accuracy of detection.