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癫痫的当前治疗:选择的挑战。

The current treatment of epilepsy: a challenge of choices.

作者信息

Sirven Joseph I

机构信息

Department of Neurology, Mayo Clinic Hospital, 5 W, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USA.

出版信息

Curr Neurol Neurosci Rep. 2003 Jul;3(4):349-56. doi: 10.1007/s11910-003-0013-1.

DOI:10.1007/s11910-003-0013-1
PMID:12930706
Abstract

There are now several distinct choices for seizure and epilepsy treatment. These include 16 antiepileptic medications, surgery, vagus nerve stimulation, and ketogenic diet. However, not every option is appropriate for all individuals with epilepsy. This article reviews the commonly employed treatments for chronic seizures, with the goal of trying to assess when certain treatments should be considered. An approach to seizure management is presented to help navigate the challenge of epilepsy treatment choices.

摘要

目前癫痫治疗有几种不同的选择。这些包括16种抗癫痫药物、手术、迷走神经刺激和生酮饮食。然而,并非每种选择都适用于所有癫痫患者。本文回顾了慢性癫痫发作的常用治疗方法,目的是试图评估何时应考虑某些治疗方法。本文还介绍了一种癫痫管理方法,以帮助应对癫痫治疗选择的挑战。

相似文献

1
The current treatment of epilepsy: a challenge of choices.癫痫的当前治疗:选择的挑战。
Curr Neurol Neurosci Rep. 2003 Jul;3(4):349-56. doi: 10.1007/s11910-003-0013-1.
2
Advances in the treatment of epilepsy.癫痫治疗的进展
Am Fam Physician. 2001 Jul 1;64(1):91-8.
3
The outcome of children with intractable seizures: a 3- to 6-year follow-up of 67 children who remained on the ketogenic diet less than one year.顽固性癫痫患儿的预后:对67名采用生酮饮食不到一年的儿童进行3至6年的随访
Epilepsia. 2006 Feb;47(2):425-30. doi: 10.1111/j.1528-1167.2006.00439.x.
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The evolving indications of KD therapy.KD 治疗的不断发展的适应证。
Epilepsy Res. 2020 Jul;163:106340. doi: 10.1016/j.eplepsyres.2020.106340. Epub 2020 Apr 14.
6
[Drug-resistant epilepsy treated with ketogenic diet].[生酮饮食治疗耐药性癫痫]
Recenti Prog Med. 1997 Feb;88(2):77-9.
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引用本文的文献

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Evaluation of partial epilepsy in Iran: role of video-EEG, EEG, and MRI with epilepsy protocol.伊朗部分性癫痫的评估:视频脑电图、脑电图及癫痫协议磁共振成像的作用
Iran J Neurol. 2011;10(1-2):9-15.
2
Ketogenic diet decreases circulating concentrations of neuroactive steroids of female rats.生酮饮食可降低雌性大鼠循环中神经活性甾体的浓度。
Epilepsy Behav. 2005 Sep;7(2):231-9. doi: 10.1016/j.yebeh.2005.05.025.

本文引用的文献

1
Response to first drug trial predicts outcome in childhood temporal lobe epilepsy.首次药物试验的反应可预测儿童颞叶癫痫的预后。
Neurology. 2001 Dec 26;57(12):2259-64. doi: 10.1212/wnl.57.12.2259.
2
A randomized, controlled trial of surgery for temporal-lobe epilepsy.颞叶癫痫手术的一项随机对照试验。
N Engl J Med. 2001 Aug 2;345(5):311-8. doi: 10.1056/NEJM200108023450501.
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Acute and chronic seizures in patients older than 60 years.
Mayo Clin Proc. 2001 Feb;76(2):175-83. doi: 10.1016/S0025-6196(11)63125-X.
4
Prospective long-term study of vagus nerve stimulation for the treatment of refractory seizures.迷走神经刺激治疗难治性癫痫的前瞻性长期研究。
Epilepsia. 2000 Sep;41(9):1195-200. doi: 10.1111/j.1528-1157.2000.tb00325.x.
5
Vagus nerve stimulation therapy for epilepsy in older adults.
Neurology. 2000 Mar 14;54(5):1179-82. doi: 10.1212/wnl.54.5.1179.
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Driving in adults with refractory localization-related epilepsy. Multi-Center Study of Epilepsy Surgery.
Neurology. 2000 Feb 8;54(3):625-30. doi: 10.1212/wnl.54.3.625.
7
Early identification of refractory epilepsy.难治性癫痫的早期识别。
N Engl J Med. 2000 Feb 3;342(5):314-9. doi: 10.1056/NEJM200002033420503.
8
Marital status after epilepsy surgery.癫痫手术后的婚姻状况。
Epilepsia. 1999 Dec;40(12):1755-60. doi: 10.1111/j.1528-1157.1999.tb01594.x.
9
The ketogenic diet for intractable epilepsy in adults: preliminary results.成人顽固性癫痫的生酮饮食:初步结果。
Epilepsia. 1999 Dec;40(12):1721-6. doi: 10.1111/j.1528-1157.1999.tb01589.x.
10
Long-term treatment with vagus nerve stimulation in patients with refractory epilepsy. The Vagus Nerve Stimulation Study Group E01-E05.难治性癫痫患者的迷走神经刺激长期治疗。迷走神经刺激研究组E01-E05。
Neurology. 1999 Nov 10;53(8):1731-5. doi: 10.1212/wnl.53.8.1731.