以癫痫持续状态为首发症状的急性髓系白血病1例报告并文献复习

A Case of Acute Myeloid Leukemia with Initial Symptoms of Generalized Tonic Clonic Seizure and Related Literature Review

摘要: 目的：报道以癫痫持续状态为首发症状的急性髓系白血病1例，分析其临床特征和发病机制，提高神经科医生对该疾病的认识。方法：对1例以癫痫持续状态为首发症状的急性髓系白血病患者的临床资料，结合文献进行回顾性分析。结果：以癫痫持续状态为首发症状的急性髓系白血病发病机制复杂，病程凶险，进展更快。结论：以癫痫持续状态为首发症状的急性髓系白血病少见，易误诊、漏诊，早期诊断、早期治疗对患者的预后十分重要。

Abstract: Aim: To report 1 case of acute myeloid leukemia (AML) with initial symptoms of Generalized Tonic Clonic Seizure (GTCS), and analyze its clinical characteristics and pathogenesis. Methods: The clinical data of the patient with acute myeloid leukemia, who displayed initial symptoms of GTCS, combined with literature were retrospectively analyzed. Results: It is rare for the patient with acute myeloid leukemia displaying initial symptoms of GTCS. When combined with diffuse intravascular coagulation, the situation would be dangerous and progress rapidly. Conclusion: The GTCS as starting symptoms of acute myeloid leukemia is rare, which is easily misdiagnosed and missed diagnosis; early diagnosis and early treatment is very important for the prognosis of the patients.