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儿童癫痫:儿科医生应该了解什么?

Childhood epilepsies: What should a pediatrician know?

作者信息

Bashiri Fahad A

机构信息

Department of Pediatrics, College of Medicine, King Saud University Medical City, King Saud University, Riyadh, Kingdom of Saudi Arabia. E-mail:

出版信息

Neurosciences (Riyadh). 2017 Jan;22(1):14-19. doi: 10.17712/nsj.2017.1.20160244.

DOI:10.17712/nsj.2017.1.20160244
PMID:28064325
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5726831/
Abstract

Seizures in children are among the most common neurological disorders. A pediatrician should know how to approach a child who presents with a seizure. This review will focus on points that are important in the evaluation of children who have experienced seizures. A comprehensive and neurologically focused framework for history taking and a thorough clinical examination are the cornerstones in diagnosing and managing seizures. This article reviews the clinical approach to the diagnosis, investigation, and management of epilepsy in children, excluding neonatal seizures. A pediatrician should also be aware of common epilepsy syndromes that occur in children such as Benign Childhood Epilepsy with Centro-Temporal Spikes, and childhood absence epilepsy.

摘要

儿童癫痫是最常见的神经系统疾病之一。儿科医生应知道如何诊治出现癫痫症状的儿童。本综述将聚焦于评估癫痫患儿时的重点内容。全面且以神经学为重点的病史采集框架以及全面的临床检查是癫痫诊断和管理的基石。本文回顾了儿童癫痫(不包括新生儿癫痫)的诊断、检查及管理的临床方法。儿科医生还应了解儿童中常见的癫痫综合征,如伴有中央颞区棘波的儿童良性癫痫和儿童失神癫痫。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6532/5726831/e79a223d3fcf/Neurosciences-22-14-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6532/5726831/e79a223d3fcf/Neurosciences-22-14-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6532/5726831/e79a223d3fcf/Neurosciences-22-14-g001.jpg

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Pathogenic copy number variants and SCN1A mutations in patients with intellectual disability and childhood-onset epilepsy.智力残疾和儿童期起病癫痫患者的致病性拷贝数变异和SCN1A突变
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Infantile, Childhood, and Adolescent Epilepsies.婴儿期、儿童期及青少年期癫痫
Continuum (Minneap Minn). 2016 Feb;22(1 Epilepsy):60-93. doi: 10.1212/CON.0000000000000269.
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Estimating Epilepsy Incidence and Prevalence in the US Pediatric Population Using Nationwide Health Insurance Claims Data.
小儿癫痫患者——使用VolBrain软件评估脑结构体积
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J Vet Intern Med. 2018 Jan;32(1):465-468. doi: 10.1111/jvim.14873. Epub 2017 Nov 24.
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