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非癫痫性发作:治疗与预后的预测因素

Non-epileptic seizures: management and predictive factors of outcome.

作者信息

McDade G, Brown S W

机构信息

David Lewis Centre, Nr Alderly Edge, Cheshire, UK.

出版信息

Seizure. 1992 Mar;1(1):7-10. doi: 10.1016/1059-1311(92)90047-5.

DOI:10.1016/1059-1311(92)90047-5
PMID:1344323
Abstract

We report a prospective series of 18 patients with a diagnosis of non-epileptic seizures (NES, pseudoseizures) identified in one unit. Sixteen patients agreed to complete a therapeutic programme. At the end of treatment eight were seizure free, three had only occasional NES and five were unchanged. At 1-year follow-up the situation remained similar regarding seizures, with responders demonstrating an improvement in social functioning and a marked reduction in demands on health service resources. Admission variables significantly associated with a poor outcome were an IQ of less than 80 and a past history of violent behaviour.

摘要

我们报告了在一个科室确诊的18例非癫痫性发作(NES,假性癫痫发作)患者的前瞻性系列病例。16例患者同意完成一个治疗方案。治疗结束时,8例患者无发作,3例仅偶尔出现NES,5例病情无变化。在1年的随访中,癫痫发作情况依然相似,有反应者在社会功能方面有所改善,对卫生服务资源的需求显著减少。与不良预后显著相关的入院变量包括智商低于80以及有暴力行为史。

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