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成人创伤后早期癫痫发作。84例病例研究。

Early post traumatic seizures in adults. Study of 84 cases.

作者信息

De Santis A, Cappricci E, Granata G

出版信息

J Neurosurg Sci. 1979 Jul-Sep;23(3):207-10.

PMID:119039
Abstract

In a series of 2.980 brain-injured patients, 84 (2.8%) showed epileptic seizures. Epilepsy occurred with a higher incidence rate in operated patients (11.6%) than in non operated ones (1.2%). Seizures appeared within the first week since trauma in 91% of the cases. They have been single in 48%, recurring in 34%, with figures of status epilepticus in 16% partial in 61%, and GM in 33%. Prognosis quoad vitam of early epilepsy seems to be favourable, however, in severely brain-injured patients, seizures occur more frequently and may determine a worsening of the clinical picture even if they are not responsible for the death.

摘要

在2980例脑损伤患者中,84例(2.8%)出现癫痫发作。接受手术治疗的患者癫痫发生率(11.6%)高于未接受手术治疗的患者(1.2%)。91%的病例在创伤后的第一周内出现癫痫发作。其中,48%为单次发作,34%为复发,16%为癫痫持续状态;61%为部分性发作,33%为全面性发作。早期癫痫的生命预后似乎较好,然而,在重度脑损伤患者中,癫痫发作更为频繁,即使不是导致死亡的原因,也可能使临床病情恶化。

相似文献

1
Early post traumatic seizures in adults. Study of 84 cases.成人创伤后早期癫痫发作。84例病例研究。
J Neurosurg Sci. 1979 Jul-Sep;23(3):207-10.
2
Long-term prognosis of early epilepsy in juvenile head-injured patients (preliminary results).青少年头部受伤患者早期癫痫的长期预后(初步结果)。
J Neurosurg Sci. 1979 Apr-Jun;23(2):105-8.
3
Prognostic factors in the persistence of posttraumatic epilepsy.创伤后癫痫持续存在的预后因素。
J Neurosurg. 1972 Aug;37(2):164-9. doi: 10.3171/jns.1972.37.2.0164.
4
[Preventive and therapeutic attitude in post-traumatic epileptic seizures].[创伤后癫痫发作的预防与治疗态度]
Rev Neurol. 2002 Sep;35 Suppl 1:S39-42.
5
[Epileptic syndrome in craniocerebral injuries].[颅脑损伤中的癫痫综合征]
Zh Vopr Neirokhir Im N N Burdenko. 1986 Jan-Feb(1):17-20.
6
[Epilepsy in later life: seizures persisting after the age of 60].[晚年癫痫:60岁以后仍持续发作的癫痫]
Riv Patol Nerv Ment. 1981 Jul-Aug;101(4):185-201.
7
[Significance of epileptic seizures occurring during the first week of traumatic coma (author's transl)].创伤性昏迷第一周出现癫痫发作的意义(作者译)
Rev Electroencephalogr Neurophysiol Clin. 1979 Apr-Jun;9(2):149-55. doi: 10.1016/s0370-4475(79)80069-6.
8
Occurrence of epilepsy during the first 10 years after traumatic brain injury acquired in childhood up to the age of 18 years in the south western Swedish population-based series.在瑞典西南部基于人群的系列研究中,18岁及以下儿童期获得性脑外伤后最初10年内癫痫的发生情况。
Brain Inj. 2009 Jul;23(7):612-6. doi: 10.1080/02699050902973913.
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The fate of World War II veterans with posttraumatic seizures.
Arch Neurol. 1989 Jan;46(1):23-6. doi: 10.1001/archneur.1989.00520370025013.
10
Cerebral birth injury as a cause of epilepsy.脑产伤作为癫痫的一个病因。
Ann Chir Gynaecol Fenn. 1975;64(2):118-22.

引用本文的文献

1
Risk Factors and Phenytoin Prophylaxis for Early Post-Traumatic Seizures among Patients with Traumatic Brain Injury.创伤性脑损伤患者创伤后早期癫痫发作的危险因素及苯妥英钠预防
Malays J Med Sci. 2010 Oct;17(4):36-43.
2
Mortality in late post-traumatic seizures.创伤后晚期癫痫发作的死亡率。
J Neurotrauma. 2009 Sep;26(9):1471-7. doi: 10.1089/neu.2008.0729.