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Dravet 综合征患者的整体管理。

Overall management of patients with Dravet syndrome.

机构信息

Department of Neurology-Child Neurology, University Hospital and University of Antwerp, Belgium.

出版信息

Dev Med Child Neurol. 2011 Apr;53 Suppl 2:19-23. doi: 10.1111/j.1469-8749.2011.03968.x.

Abstract

Dravet syndrome, or as it was called in the past 'severe myoclonic epilepsy in infancy', is a drug-resistant epilepsy first described by Charlotte Dravet in 1978. Besides the well-known and well-described therapy resistance, Dravet syndrome dramatically impacts the development and behaviour of the affected children. As it is still not a curable disease, families need to be taught how to cope with the disorder and will require assistance from both clinical and non-clinical structures. At the onset of the disease, many questions arise regarding the diagnosis of Dravet syndrome, the severity of the illness and its deleterious effects, and the management of seizures, especially the long-lasting status epilepticus. Once the diagnosis has been established, severe convulsions, often unpredictable and long-lasting, are still a major worry, but developmental and behavioural problems also rapidly become a serious concern. Later on, nearly all parents will have a child who becomes an adult with special needs, requiring specialised attention from professionals.

摘要

德拉维雷综合征,或过去称为“婴儿严重肌阵挛性癫痫”,是一种耐药性癫痫,由夏洛特·德拉维雷(Charlotte Dravet)于 1978 年首次描述。除了众所周知的和描述明确的治疗抵抗外,德拉维雷综合征还严重影响受影响儿童的发育和行为。由于它仍然是一种无法治愈的疾病,因此需要向家庭传授如何应对这种疾病的方法,并且需要临床和非临床结构的帮助。在疾病发作时,会出现许多与德拉维雷综合征的诊断,疾病的严重程度及其有害影响以及癫痫发作的管理(尤其是持续时间较长的癫痫持续状态)有关的问题。一旦做出诊断,严重的抽搐仍然是主要的关注点,这些抽搐通常是不可预测的且持续时间长,但发育和行为问题也很快成为严重的问题。稍后,几乎所有父母都会有一个成年后有特殊需求的孩子,需要专业人员的特别关注。

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