病例介绍患者1,男,67岁。因“反复抽搐伴意识障碍15 d”于2015年9月15日入院。入院前15 d,患者于劳累后感背部剧痛,在当地医院行胸部CT检查时突发意识丧失、四肢强直、抽搐,伴小便失禁,持续2 min。后因反复发作癫痫持续状态转入重症监护病房,行气管插管、抗癫痫等治疗后好转,并出现烦躁不安、胡言乱语,偶有视幻觉及认知功能下降。入院体格检查(查体):体温37.1℃,脉搏 Case description Patient 1, male, 67 years old. Because of “repeated convulsions with disturbance of consciousness 15 d ” was admitted on September 15, 2015. Fifteen days before admission, the patient experienced back pain after exertion, sudden loss of consciousness in his chest CT examination at the local hospital, tetanic limbs, twitching, and incontinence for 2 min. After repeated episodes of status epilepticus into the intensive care unit, tracheal intubation, anti-epilepsy and other treatment improved, and irritability, nonsense, occasional visual hallucinations and cognitive decline. Admission physical examination (examination): body temperature 37.1 ℃, pulse