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新生儿惊厥:发病机制与治疗进展

Neonatal seizures: an update on mechanisms and management.

机构信息

Children's Hospital Boston, CLS 14073, 300 Longwood Avenue, Boston, MA 02115, USA.

出版信息

Clin Perinatol. 2009 Dec;36(4):881-900, vii. doi: 10.1016/j.clp.2009.08.001.

DOI:10.1016/j.clp.2009.08.001
PMID:19944840
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2818833/
Abstract

The lifespan risk of seizures is highest in the neonatal period. Current therapies have limited efficacy. Although the treatment of neonatal seizures has not changed significantly in the last several decades, there has been substantial progress in understanding developmental mechanisms that influence seizure generation and responsiveness to anticonvulsants. This article provides an overview of current approaches to the diagnosis and treatment of neonatal seizures, and some of the recent insights about the pathophysiology of neonatal seizures that may provide the foundation for better treatment are identified.

摘要

癫痫发作的寿命风险在新生儿期最高。目前的治疗方法疗效有限。尽管过去几十年中新生儿癫痫的治疗没有显著变化,但在理解影响癫痫发作和对抗癫痫药反应的发育机制方面已经取得了实质性进展。本文概述了目前新生儿癫痫的诊断和治疗方法,并确定了一些关于新生儿癫痫病理生理学的最新见解,这些见解可能为更好的治疗提供基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f43f/2818833/6c232641513e/nihms167024f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f43f/2818833/20af64fd94b0/nihms167024f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f43f/2818833/230752da4cc6/nihms167024f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f43f/2818833/6c232641513e/nihms167024f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f43f/2818833/20af64fd94b0/nihms167024f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f43f/2818833/230752da4cc6/nihms167024f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f43f/2818833/6c232641513e/nihms167024f3.jpg

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本文引用的文献

1
Epileptogenesis in the immature brain: emerging mechanisms.未成熟脑的癫痫发生:新兴机制。
Nat Rev Neurol. 2009 Jul;5(7):380-91. doi: 10.1038/nrneurol.2009.80.
2
Clinical Neonatal Seizures are Independently Associated with Outcome in Infants at Risk for Hypoxic-Ischemic Brain Injury.临床新生儿惊厥与缺氧缺血性脑损伤风险婴儿的预后独立相关。
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A pilot study of continuous limited-channel aEEG in term infants with encephalopathy.足月脑病患儿连续有限通道振幅整合脑电图的初步研究。
癫痫发作可能会加重新生儿缺氧缺血性脑病的预后:一项纵向血清生物标志物研究。
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Determinants of neonatal seizure among neonates admitted to neonatal intensive care units in the Awi Zone hospitals, 2023: A multi-center unmatched case control study.2023年阿维地区医院新生儿重症监护病房收治新生儿的新生儿惊厥决定因素:一项多中心非匹配病例对照研究
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Anti-seizure medications for neonates with seizures.抗癫痫药物治疗新生儿癫痫。
Cochrane Database Syst Rev. 2023 Oct 24;10(10):CD014967. doi: 10.1002/14651858.CD014967.pub2.
6
Variable Association of Physiologic Changes With Electrographic Seizure-Like Events in Infants Born Preterm.早产儿电生理发作样事件与生理变化的多变相关性。
J Pediatr. 2023 Jun;257:113348. doi: 10.1016/j.jpeds.2022.12.044. Epub 2023 Feb 16.
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Preclinical efficacy of cannabidiol for the treatment of early-life seizures.大麻二酚治疗婴幼儿癫痫的临床前疗效。
Pharmacol Rep. 2022 Oct;74(5):1092-1098. doi: 10.1007/s43440-022-00413-9. Epub 2022 Oct 12.
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SARS-CoV-2 Infection and Possible Neonatal Neurological Outcomes: A Literature Review.SARS-CoV-2 感染与可能的新生儿神经系统结局:文献综述。
Viruses. 2022 May 13;14(5):1037. doi: 10.3390/v14051037.
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Lissencephaly causing refractory neonatal seizures in a term neonate.无脑回畸形导致足月儿出现难治性新生儿惊厥。
BMJ Case Rep. 2022 May 6;15(5):e249245. doi: 10.1136/bcr-2022-249245.
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Front Pediatr. 2022 Feb 11;10:791815. doi: 10.3389/fped.2022.791815. eCollection 2022.
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Epilepsia. 2009 Apr;50(4):694-701. doi: 10.1111/j.1528-1167.2008.01947.x. Epub 2009 Feb 12.
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Different effects of two N-methyl-D-aspartate receptor antagonists on seizures, spontaneous behavior, and motor performance in immature rats.两种N-甲基-D-天冬氨酸受体拮抗剂对幼鼠癫痫发作、自发行为及运动能力的不同影响。
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Brain Behav Immun. 2008 Aug;22(6):797-803. doi: 10.1016/j.bbi.2008.03.009. Epub 2008 May 20.