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非惊厥性癫痫持续状态的统一脑电图术语和标准。

Unified EEG terminology and criteria for nonconvulsive status epilepticus.

机构信息

Department of Clinical Neurophysiology, Danish Epilepsy Center, Visbys Allé 5, Dianalund, Denmark.

出版信息

Epilepsia. 2013 Sep;54 Suppl 6:28-9. doi: 10.1111/epi.12270.

DOI:10.1111/epi.12270
PMID:24001066
Abstract

The diagnosis of nonconvulsive status epilepticus (NCSE) relies largely on electroencephalography (EEG) findings. The lack of a unified EEG terminology, and of evidence-based EEG criteria, leads to varying criteria for and ability to diagnose NCSE. We propose a unified terminology and classification system for NCSE, using, as a template, the Standardised Computer-based Organised Reporting of EEG (SCORE). This approach integrates the terminology recently proposed for the rhythmic and periodic patterns in critically ill patients, the electroclinical classification of NCSE (type of NCSE) and the context for the pathologic conditions and age-related epilepsy syndromes. We propose flexible EEG criteria that employ the SCORE system to assemble a database for determining evidence-based EEG criteria for NCSE.

摘要

非惊厥性癫痫持续状态(NCSE)的诊断主要依赖于脑电图(EEG)发现。由于缺乏统一的 EEG 术语和基于证据的 EEG 标准,导致 NCSE 的诊断标准和能力存在差异。我们使用基于计算机的标准 EEG 组织报告(SCORE)模板,提出了一个用于 NCSE 的统一术语和分类系统。这种方法整合了最近为危重病患者的节律和周期性模式提出的术语、NCSE 的电临床分类(NCSE 类型)以及病理状况和与年龄相关的癫痫综合征的背景。我们提出了灵活的 EEG 标准,利用 SCORE 系统为确定 NCSE 的基于证据的 EEG 标准建立数据库。

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