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[儿童癫痫:诊断与治疗]

[Epilepsy in childhood: diagnosis and therapy].

作者信息

György Ilona

机构信息

Debreceni Egyetem, Orvos- es Egészségtudományi Centrum, Altalanos Orvostudományi Kar, Gyermekklinika.

出版信息

Orv Hetil. 2005 May 15;146(20):1003-8.

Abstract

Epilepsy in childhood is a very frequent disease. Diagnosis is not easy due to many types of provoked seizures in children. The main diagnostic tool is the medical history. Home video of the paroxysmal event can help the pediatric neurologist, too. The most important laboratory investigation is the EEG but sometime it is not informative. The best provocation of EEG is the sleep deprivation. It is important to register the electrical activity during sleep because in a lot of epileptic syndromes in childhood the pathological abnormalities can be seen only during sleep. The prognosis improved due to the new antiepileptic drugs and the development of epileptic surgery.

摘要

儿童癫痫是一种非常常见的疾病。由于儿童有多种类型的诱发性癫痫发作,诊断并不容易。主要的诊断工具是病史。阵发性事件的家庭录像也有助于儿科神经科医生。最重要的实验室检查是脑电图,但有时它并无诊断价值。脑电图的最佳诱发方法是睡眠剥夺。记录睡眠期间的电活动很重要,因为在许多儿童癫痫综合征中,病理性异常仅在睡眠期间可见。由于新型抗癫痫药物的出现和癫痫外科手术的发展,预后有所改善。

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