Watemberg Nathan, Segal Gil
Child Neurology Unit, Meir Medical Center, Tel Aviv University School of Medicine, Kfar Saba, Israel.
J Child Neurol. 2010 Feb;25(2):203-11. doi: 10.1177/0883073809337032. Epub 2009 Oct 15.
Status epilepticus represents a true neurologic emergency that requires immediate treatment to stop seizure activity and prompt diagnostic evaluation to recognize potentially treatable causes. Although an etiology may be detected in many cases, in a significant number of patients the cause is not established by the usual laboratory or neuroimaging studies. We performed an extensive literature review of all unusual and often overlooked causes of status epilepticus in children, in an attempt to provide physicians with practical information on the diagnostic approach to patients, particularly those with refractory status epilepticus, for whom an etiology can not be detected by routine diagnostic protocols.
癫痫持续状态是一种真正的神经科急症，需要立即治疗以停止癫痫发作活动，并进行快速诊断评估以识别潜在的可治疗病因。尽管在许多病例中可能检测到病因，但在相当数量的患者中，常规实验室检查或神经影像学检查无法确定病因。我们对儿童癫痫持续状态的所有不寻常且常被忽视的病因进行了广泛的文献综述，旨在为医生提供关于患者诊断方法的实用信息，尤其是那些难治性癫痫持续状态患者，常规诊断方案无法检测到其病因。
