Camfield Peter R, Bahi-Buisson Nadia, Trinka Eugen
Department of Pediatrics, Dalhousie University, Halifax, Nova Scotia, Canada; Department of Pediatrics, IWK Health Centre, Halifax, Nova Scotia, Canada.
Epilepsia. 2014 Aug;55 Suppl 3:24-8. doi: 10.1111/epi.12704.
Patients with epilepsy may have diffuse, serious brain disorders including genetically determined, multilobar malformations, traumatic brain injury, encephalitis and meningitis, and the many causes of Lennox-Gastaut syndrome. Transition to adult care needs to consider concomitant intellectual disability, refractory epilepsy, underlying cause, and other nonneurologic but significant problems, especially for genetic etiologies. Adult epilepsy care coupled with dedicated primary/family care is essential. A multidisciplinary setting may be optimal to address the many issues of clinical care, decision making, custody, and ongoing supervision.
癫痫患者可能患有弥漫性、严重的脑部疾病，包括基因决定的多叶畸形、创伤性脑损伤、脑炎和脑膜炎，以及Lennox-Gastaut综合征的多种病因。向成人护理的过渡需要考虑同时存在的智力残疾、难治性癫痫、潜在病因以及其他非神经但重要的问题，特别是对于遗传病因。成人癫痫护理与专门的初级/家庭护理相结合至关重要。多学科环境可能是解决临床护理、决策、监护和持续监督等诸多问题的最佳选择。
