University of Maryland School of Medicine, Baltimore, Maryland, USA.
Semin Neurol. 2010 Feb;30(1):82-5. doi: 10.1055/s-0029-1245001. Epub 2010 Feb 1.
Technology plays a greater and expanding role in the evaluation, diagnosis, and treatment of epilepsy and seizure disorders with the use of electroencephalography and video electroencephalography (EEG) monitoring. However, the history and clinical examination of the patient will always be the most important parts of the evaluation of patients with seizures, epilepsy, and other similar disorders. Clinical pearls for the differential diagnosis of seizures, psychogenic nonepileptic seizures, initial diagnosis of epilepsy, epilepsy evaluation, and use of anticonvulsants are provided.
随着脑电图和视频脑电图(EEG)监测的应用,技术在癫痫和癫痫发作障碍的评估、诊断和治疗中发挥着越来越大且不断扩大的作用。然而,患者的病史和临床检查始终是评估癫痫发作、癫痫和其他类似疾病患者的最重要部分。本文提供了发作、心因性非癫痫性发作、癫痫初始诊断、癫痫评估和抗癫痫药物使用的鉴别诊断的临床要点。