Jallon P
Service de neurophysiologie clinique, hôpital du-Val-de-Grâce, Paris.
Rev Prat. 1990 Feb 1;40(4):291-3.
It is never easy to decide on the action to be taken after a first epileptic seizure, the main question being; to treat or not to treat? To initiate a treatment implies that the epileptic nature of the seizure has been ascertained on the basis of strict clinical and electroencephalographic criteria. Apart from the specific causal treatment of some seizures, the prescription of a long-term antiepileptic therapy depends on the risk of relapse, which is always difficult to evaluate. The patient's age and family and his profession are factors which should never be neglected.
首次癫痫发作后决定采取何种行动绝非易事，主要问题在于：治疗还是不治疗？开始治疗意味着已根据严格的临床和脑电图标准确定了发作的癫痫性质。除了对某些发作进行特定的病因治疗外，长期抗癫痫治疗的处方取决于复发风险，而复发风险总是难以评估。患者的年龄、家庭和职业是绝不能忽视的因素。
