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癫痫共病的管理。

Management of Epilepsy Comorbidities.

作者信息

Sirven Joseph I

出版信息

Continuum (Minneap Minn). 2016 Feb;22(1 Epilepsy):191-203. doi: 10.1212/CON.0000000000000268.

Abstract

PURPOSE OF REVIEW

Many comorbid conditions occur among people with epilepsy. These comorbid conditions can be divided into physical, psychiatric, and cognitive groups. This article examines the common comorbid conditions associated with epilepsy and identifies management strategies to mitigate these health concerns.

RECENT FINDINGS

Sudden unexpected death in epilepsy (SUDEP) is an important and common cause of epilepsy-related mortality, with the most important identified predictor being recurrent seizures. Psychiatric and cognitive comorbidities of epilepsy are also particularly common. Individuals with epilepsy need to be screened and treated for psychiatric comorbidities.

SUMMARY

This article explains common comorbid conditions such as depression, anxiety, and memory difficulties; outlines treatment approaches; and discusses functional restrictions such as driving. SUDEP and the risk factors that contribute to it are also discussed.

摘要

综述目的

癫痫患者常伴有多种共病情况。这些共病可分为躯体、精神和认知三类。本文探讨了与癫痫相关的常见共病情况,并确定了减轻这些健康问题的管理策略。

最新发现

癫痫猝死(SUDEP)是癫痫相关死亡的一个重要且常见原因,已确定的最重要预测因素是癫痫复发。癫痫的精神和认知共病也尤为常见。癫痫患者需要接受精神共病的筛查和治疗。

总结

本文解释了诸如抑郁、焦虑和记忆障碍等常见共病情况;概述了治疗方法;并讨论了如驾驶等功能限制。还讨论了SUDEP及其相关危险因素。

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