Flushing of the neck

Introduction The appearance of facial and neck flushing, sweating, palpitations, tears, runny, trembling and gastrointestinal discomfort, each episode lasted for a few minutes to 1-2 hours, but no convulsions, occasional urinary, inter-ineral epilepsy general symptoms . In the case of brain seizures, the symptoms appear alone or in combination with other types of epilepsy, the former is called simple inter-ineral epilepsy, and the latter is mixed inter-brain epilepsy. Inter-cerebral epilepsy, also known as autonomic epilepsy, is not defined as an independent type in the international epilepsy classification, but is classified as a simple partial seizure type.

Cause

This is a syndrome of periodic episodes of autonomic dysfunction caused by hypothalamic lesions caused by different causes. The hypothalamus is a high-grade autonomic nerve center in the subcortex, which is closely related to the cerebral cortex, the central gray matter of the midbrain, the reticular structure and the autonomic nerve center of the spinal cord. All kinds of harmful factors can form abnormal discharge lesions. This abnormal discharge spreads around and can cause autonomic symptoms such as headache, nausea, and changes in the cardiovascular system and respiratory system.

an examination

Related inspection

Neck MRI examination of skin smear microscopy

Characteristics of interbrain seizures:

1 Symptoms of autonomic dysfunction are paroxysmal and reversible, and symptoms often manifest in one or two systems.

2 The attack lasts for a few seconds to a few minutes.

3 no symptoms during the interval.

4 Except for other diseases.

Differential diagnosis

Inter-brain epilepsy is not common in clinical practice, and it is easy to cause misdiagnosis due to complex and variable performance. Mainly at night, the blood pressure was normal at the time of treatment, and there was no history of head trauma and family history. At the time of onset, chest tightness, chest pressure, palpitation, sweating, pulse slowing and other symptoms are mainly misdiagnosed as coronary heart disease, angina pectoris; others are palpitations, tremors, chills, horror, skin flushing or paleness Increased blood pressure, increased pulse rate, frequent urination and other symptoms, such as misdiagnosed as neurosis, menopausal syndrome.

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