Shishmanidi A K, Karpov S M, Vyshlova I A, Karpov A S, Bahadova E M
Stavropol State Medical University, Stavropol, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2018;118(10):90-92. doi: 10.17116/jnevro201811810190.
The presented article deals with traumatic brain injury, which can cause convulsive seizures with the subsequent development of epilepsy, which is especially characteristic of young people. The problems of classification of posttraumatic epileptic seizures, development of their mechanisms, characteristics of diagnosis, as well as the stages of epileptogenesis leading to the development of traumatic epilepsy are considered. The variants of therapy are given in view of traumatic brain injury. It is noted that the use of electrical stimulation during individual phases of paroxysmal oscillations can be an effective method in preventing the development of homeostatic plasticity that is involved in the development of epileptogenesis.
本文论述了创伤性脑损伤,其可导致惊厥发作并随后发展为癫痫,这在年轻人中尤为常见。文中探讨了创伤后癫痫发作的分类问题、其机制的发展、诊断特点以及导致创伤性癫痫发展的癫痫发生阶段。针对创伤性脑损伤给出了治疗方案。值得注意的是,在阵发性振荡的各个阶段使用电刺激可能是预防参与癫痫发生发展的稳态可塑性发展的有效方法。