Institute for Children and Adolescents with Epilepsy IDEE and Paediatric Neurophysiology, University Hospitals of Lyon, Hôpital Femme Mère Enfant, Lyon, France.
Semin Pediatr Neurol. 2010 Sep;17(3):195-200. doi: 10.1016/j.spen.2010.06.012.
The ultimate goal of treating status epilepticus is to provide the best opportunity for a good outcome. This review discusses the current literature on the outcome after status epilepticus in children, including the risk of recurrence, morbidity, and mortality. The outcome seems most dependent on etiology, with age and duration of status epilepticus also contributing. Convulsive status epilepticus has considerably more supporting literature, whereas the data on nonconvulsive status epilepticus are hindered by the lack of a standard definition and presumed under recognition. Future studies will need to address some of these methodological issues to provide the best information when discussing outcome with the family members of children with status epilepticus.
治疗癫痫持续状态的最终目标是为获得良好预后提供最佳机会。本文综述了儿童癫痫持续状态后结局的现有文献,包括复发风险、发病率和死亡率。结局似乎主要取决于病因,年龄和癫痫持续状态的持续时间也有影响。全身性癫痫持续状态有大量相关文献,而非惊厥性癫痫持续状态的数据则受到缺乏标准定义和推测的漏诊的阻碍。未来的研究需要解决其中的一些方法学问题,以便在与癫痫持续状态患儿的家属讨论结局时提供最佳信息。