[癫痫的辅助检查]
[Paraclinical explorations in epilepsies].
作者信息
Derambure Philippe
机构信息
Neurophysiologie clinique, centre hospitalier régional universitaire de Lille, 59037 Lille cedex, France.
出版信息
Presse Med. 2011 Mar;40(3):265-70. doi: 10.1016/j.lpm.2011.01.002. Epub 2011 Feb 17.
Paraclinical explorations in epilepsy depend on the clinical situation of the occurrence of seizure. Epileptic seizure is first a possible symptom of a progressive cerebral disease or a systemic origin (toxic, metabolic, iatrogenic). In this situation, the aim of urgent explorations is to find the etiology of the seizure. If epileptic seizure is related to an epilepsy onset, paraclinical explorations are aimed to characterize an epileptic syndrome (idiopathic or symptomatic). Then EEG and cerebral imaging are imperative, eventually completed by specialized investigations (genetics, metabolic, functional imaging).
癫痫的辅助检查取决于癫痫发作的临床情况。癫痫发作首先可能是进行性脑部疾病或全身性疾病（中毒、代谢、医源性）的症状。在这种情况下，紧急检查的目的是找出癫痫发作的病因。如果癫痫发作与癫痫发作起始有关，辅助检查旨在明确癫痫综合征（特发性或症状性）。此时脑电图和脑部影像学检查必不可少，最终可能还需要进行专门的检查（遗传学、代谢、功能影像学）。
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