Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Epilepsy Behav. 2010 Oct;19(2):188-90. doi: 10.1016/j.yebeh.2010.06.030. Epub 2010 Aug 17.
Postictal behaviors and symptoms often require special assessment and treatment. We review risk factors for postictal delirium and psychosis and management of agitated and confused behaviors in patients after seizures. Medical and emergency staff require careful training to manage behaviors associated with postictal delirium and psychosis in order to protect patients while their confusion resolves. Treatment of postictal states requires recognition of underlying neurological and systemic disorders associated with seizures and delirium such as metabolic disorders and nonconvulsive seizures. There is incomplete information about the causes and optimal treatments for seizure-related psychosis, however, postictal behaviors can usually be managed safely.
发作后行为和症状通常需要特殊评估和治疗。我们回顾了发作后谵妄和精神病的危险因素，以及发作后患者激越和意识模糊行为的处理。医疗和急救人员需要接受仔细的培训，以管理与发作后谵妄和精神病相关的行为，以便在患者意识混乱消退的过程中保护他们。发作后状态的治疗需要识别与癫痫发作和谵妄相关的潜在神经和系统疾病，如代谢紊乱和非惊厥性癫痫发作。关于与癫痫相关的精神病的病因和最佳治疗方法，目前信息尚不完整，但是，发作后行为通常可以安全地管理。
