Cuéllar R, Molinero M
Servicio de Medicina Interna, Hospital Escuela, Tegucigalpa, Honduras.
Rev Neurol. 2003;37(4):371-5.
A survey is conducted of the way difficult-to-control epileptic seizures are currently managed in paediatric practice. We also highlight the alternative means of therapy available, such as epilepsy surgery, a ketogenic diet, the use of hormones, steroids, gamma globulin and the stimulation of the vagal nerve, together with their indications, their efficiency in the different types of epilepsy and their contraindications. Mention is also made of the new antiepileptic drugs that have appeared since the nineties, as well as the reappearance of others that had fallen into disuse.
一项关于儿科实践中目前对难治性癫痫发作的管理方式的调查。我们还着重介绍了可用的替代治疗方法,如癫痫手术、生酮饮食、激素、类固醇、γ-球蛋白的使用以及迷走神经刺激,以及它们的适应症、在不同类型癫痫中的疗效及其禁忌症。此外还提到了自九十年代以来出现的新型抗癫痫药物,以及一些曾被弃用的药物的重新出现。