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癫痫领域的进展:新发癫痫、共病及药物治疗的新视角

Advances in epilepsy: new perspectives on new-onset epilepsy, comorbidities, and pharmacotherapy.

作者信息

Kanner Andres M

机构信息

Rush Medical College at Rush University, Laboratory of Electroencephalography and Video-EEG-Telemetry, Section of Epilepsy and Rush Epilepsy Center, Rush University Medical Center 1653 West Congress Parkway, Chicago, IL 60612 USA.

出版信息

F1000 Med Rep. 2010 Jul 14;2:51. doi: 10.3410/M2-51.

DOI:10.3410/M2-51
PMID:21173849
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2990413/
Abstract

The purpose of this brief article is to review old concepts of the significance of acute symptomatic seizures, the impact of psychiatric comorbidities on the response of pharmacologic and surgical treatments of the seizure disorder, and the importance of factoring comorbid medical comorbidities into the choice of antiepileptic drugs (AEDs). In addition, this article provides an update on the latest data on the teratogenic effects of AEDs and reviews the most relevant results of a recent practice guideline on pregnancy issues in women with epilepsy. The article closes with a review of the latest advances in the therapeutic effects of first- and second-generation AEDs.

摘要

这篇短文的目的是回顾关于急性症状性癫痫发作意义的旧有概念、精神共病对癫痫障碍药物和手术治疗反应的影响,以及在选择抗癫痫药物(AEDs)时考虑合并内科疾病的重要性。此外,本文还提供了AEDs致畸作用的最新数据更新,并回顾了近期关于癫痫女性妊娠问题实践指南的最相关结果。文章最后回顾了第一代和第二代AEDs治疗效果的最新进展。

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Advances in epilepsy: new perspectives on new-onset epilepsy, comorbidities, and pharmacotherapy.癫痫领域的进展:新发癫痫、共病及药物治疗的新视角
F1000 Med Rep. 2010 Jul 14;2:51. doi: 10.3410/M2-51.
2
Psychiatric comorbidities in new onset epilepsy: Should they be always investigated?新发癫痫中的精神共病:是否应始终进行调查?
Seizure. 2017 Jul;49:79-82. doi: 10.1016/j.seizure.2017.04.007. Epub 2017 Apr 14.
3
Teratogenic medications and concurrent contraceptive use in women of childbearing ability with epilepsy.有癫痫的育龄女性使用致畸药物及同时使用避孕药的情况。
Epilepsy Behav. 2015 Nov;52(Pt A):212-7. doi: 10.1016/j.yebeh.2015.08.004. Epub 2015 Nov 6.
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Practice guideline update summary: Efficacy and tolerability of the new antiepileptic drugs I: Treatment of new-onset epilepsy: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology and the American Epilepsy Society.实践指南更新概要:新型抗癫痫药物的疗效和耐受性 I:新发癫痫的治疗:美国神经病学学会和美国癫痫协会指南制定、传播和实施小组委员会的报告。
Neurology. 2018 Jul 10;91(2):74-81. doi: 10.1212/WNL.0000000000005755. Epub 2018 Jun 13.
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Psychiatric comorbidities in epilepsy: Should they be considered in the classification of epileptic disorders?癫痫中的精神科共病:在癫痫性疾病分类中是否应予以考虑?
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[Modern aspects of antiepileptic therapy during pregnancy].[孕期抗癫痫治疗的现代进展]
Zh Nevrol Psikhiatr Im S S Korsakova. 2018;118(7):101-103. doi: 10.17116/jnevro201811871101.
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Childhood-onset seizures: A long-term cohort study of use of antiepileptic drugs, and drugs for neuropsychiatric conditions.儿童期起病的癫痫发作:抗癫痫药物及神经精神疾病药物使用的长期队列研究
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Do psychiatric comorbidities have a negative impact on the course and treatment of seizure disorders?精神共病是否对癫痫发作障碍的病程和治疗有负面影响?
Curr Opin Neurol. 2013 Apr;26(2):208-13. doi: 10.1097/WCO.0b013e32835ee579.

本文引用的文献

1
Ethosuximide, valproic acid, and lamotrigine in childhood absence epilepsy.乙琥胺、丙戊酸和拉莫三嗪治疗儿童失神癫痫。
N Engl J Med. 2010 Mar 4;362(9):790-9. doi: 10.1056/NEJMoa0902014.
2
Levetiracetam use in pregnancy.左乙拉西坦在孕期的使用。
Ann Pharmacother. 2009 Oct;43(10):1692-5. doi: 10.1345/aph.1M231. Epub 2009 Aug 18.
3
Patients with epilepsy: cognitively compromised before the start of antiepileptic drug treatment?癫痫患者:在开始抗癫痫药物治疗之前认知受损?
Epilepsia. 2010 Jan;51(1):48-56. doi: 10.1111/j.1528-1167.2009.02195.x. Epub 2009 Jul 2.
4
Management issues for women with epilepsy-Focus on pregnancy (an evidence-based review): II. Teratogenesis and perinatal outcomes: Report of the Quality Standards Subcommittee and Therapeutics and Technology Subcommittee of the American Academy of Neurology and the American Epilepsy Society.癫痫女性的管理问题——聚焦妊娠(循证综述):II. 致畸作用与围产期结局:美国神经病学学会和美国癫痫协会质量标准小组委员会及治疗与技术小组委员会报告
Epilepsia. 2009 May;50(5):1237-46. doi: 10.1111/j.1528-1167.2009.02129.x.
5
Management issues for women with epilepsy-Focus on pregnancy (an evidence-based review): I. Obstetrical complications and change in seizure frequency: Report of the Quality Standards Subcommittee and Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology and the American Epilepsy Society.癫痫女性的管理问题——聚焦妊娠(循证综述):I. 产科并发症与癫痫发作频率变化:美国神经病学学会和美国癫痫协会质量标准小组委员会及治疗与技术评估小组委员会报告
Epilepsia. 2009 May;50(5):1229-36. doi: 10.1111/j.1528-1167.2009.02128.x.
6
The FDA alert on suicidality and antiepileptic drugs: Fire or false alarm?美国食品药品监督管理局关于自杀倾向与抗癫痫药物的警示:是警钟还是虚惊一场?
Epilepsia. 2009 May;50(5):978-86. doi: 10.1111/j.1528-1167.2009.02012.x.
7
Is a first acute symptomatic seizure epilepsy? Mortality and risk for recurrent seizure.首次急性症状性癫痫发作就是癫痫吗?死亡率及癫痫复发风险。
Epilepsia. 2009 May;50(5):1102-8. doi: 10.1111/j.1528-1167.2008.01945.x. Epub 2009 Jan 26.
8
Cognitive function at 3 years of age after fetal exposure to antiepileptic drugs.胎儿暴露于抗癫痫药物后3岁时的认知功能。
N Engl J Med. 2009 Apr 16;360(16):1597-605. doi: 10.1056/NEJMoa0803531.
9
Effects of antiepileptic drugs on lipids, homocysteine, and C-reactive protein.抗癫痫药物对脂质、同型半胱氨酸和C反应蛋白的影响。
Ann Neurol. 2009 Apr;65(4):448-56. doi: 10.1002/ana.21615.
10
A lifetime psychiatric history predicts a worse seizure outcome following temporal lobectomy.终生精神病史预示着颞叶切除术后癫痫发作的预后更差。
Neurology. 2009 Mar 3;72(9):793-9. doi: 10.1212/01.wnl.0000343850.85763.9c.