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热性惊厥:当前观点与研究

Febrile seizures: current views and investigations.

作者信息

Reid Aylin Y, Galic Michael A, Teskey G Campbell, Pittman Quentin J

机构信息

Hotchkiss Brain Institute, Department of Neuroscience, University of Calgary, Calgary, Alberta, Canada.

出版信息

Can J Neurol Sci. 2009 Nov;36(6):679-86. doi: 10.1017/s0317167100008246.

Abstract

Febrile seizures (FSs) are seizures that occur during fever, usually at the time of a cold or flu, and represent the most common cause of seizures in the pediatric population. Up to 5% of children between the ages of six months and five years-of-age will experience a FS. Clinically these seizures are categorized as benign events with little impact on the growth and development of the child. However, studies have linked the occurrence of FSs to an increased risk of developing adult epileptic disorders. There are many unanswered questions about FSs, such as the mechanism of their generation, the long-term effects of these seizures, and their role in epileptogenesis. Answers are beginning to emerge based on results from animal studies. This review summarizes the current literature on animal models of FSs, mechanisms underlying the seizures, and functional, structural, and molecular changes that may result from them.

摘要

热性惊厥(FSs)是在发热期间发生的惊厥,通常在感冒或流感时出现,是儿科人群中惊厥最常见的原因。6个月至5岁的儿童中,高达5%会经历一次热性惊厥。临床上,这些惊厥被归类为良性事件,对儿童的生长发育影响很小。然而,研究已将热性惊厥的发生与成人癫痫疾病风险增加联系起来。关于热性惊厥有许多未解决的问题,例如其发作机制、这些惊厥的长期影响以及它们在癫痫发生中的作用。基于动物研究的结果,答案开始浮现。本综述总结了目前关于热性惊厥动物模型、惊厥潜在机制以及可能由此导致的功能、结构和分子变化的文献。

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