Shankar Rohit, Donner Elizabeth J, McLean Brendan, Nashef Lina, Tomson Torbjörn
Cornwall Partnership NHS Foundation Trust & Exeter Medical School, Chygovenck Threemilestone Industrial Estate, Truro Cornwall, United Kingdom.
Division of Neurology, Department of Paediatrics, The Hospital for Sick Children, University of Toronto, Toronto, Canada.
Epileptic Disord. 2017 Mar 1;19(1):1-9. doi: 10.1684/epd.2017.0891.
This review aims to empower general neurologists to provide better informed person-centred advice on sudden unexpected death in epilepsy (SUDEP) to people with epilepsy in order to help keep them safe. Past and present evidence is consolidated in order to inform readers about SUDEP, and up-to-date insights into the epidemiology, diagnostic classification, pathophysiology, risk factors, influence of co-morbidity, and importance of sensitive person-centred communication are outlined. This review provides "fingertip" information to the practicing neurologist with regards to identifying and communicating risks for SUDEP and suggests practical measures for managing these risks in partnership with the patient.
本综述旨在使普通神经科医生能够为癫痫患者提供关于癫痫性猝死(SUDEP)的更明智的以患者为中心的建议,以帮助保障他们的安全。整合过去和现在的证据,以便让读者了解SUDEP,并概述了对其流行病学、诊断分类、病理生理学、危险因素、合并症的影响以及敏感的以患者为中心的沟通的重要性的最新见解。本综述为执业神经科医生提供了关于识别和沟通SUDEP风险的“即时可用”信息,并提出了与患者合作管理这些风险的实际措施。