Serum CPK Elevation After Seizures
1980; American Medical Association; Volume: 244; Issue: 21 Linguagem: Inglês
10.1001/jama.1980.03310210016011
ISSN1538-3598
Autores Tópico(s)Cardiac tumors and thrombi
ResumoTo the Editor.— Serial determination of serum creatine phosphokinase (CPK) level is a useful index of acute myocardial infarction. 1 Nevertheless, a rise in serum CPK level must be interpreted with caution, because many extracardiac conditions are recognized to cause CPK level elevation (1974;229:1894). 1 We wish to call attention to the time course of serum CPK level elevation after generalized, tonic-clonic convulsions. We have determined serum CPK levels in five nonalcoholic patients who were admitted to the hospital for examination immediately after their first seizure. Three patients had generalized tonic-clonic seizures, and two had repetitive focal motor seizures involving the face or eralized tonic-clonic seizures, and two had repetitive focal motor seizures involving the face or extremity. Seizures were observed by either a physician or another reliable witness. No intramuscularly given injections were administered. There was no previous history of neuromuscular disease in any patient. Serial ECGs did not
Referência(s)