Porter R J
Neurol Clin. 1986 Aug;4(3):495-508.
The appropriate diagnosis of the patient with epilepsy is first dependent on a determination of the type of seizure. When the type of seizure has been determined, consideration must be given to the nature of the epileptic syndrome, including concerns regarding the etiology of the attacks. The gradual evolution of the various classification schemes of epileptic seizures and epileptic syndromes complicates the task of the physician but also affords evidence of the dynamism extant in clinical epilepsy research. Intensive monitoring will assist not only in the diagnosis of the individual patient but also in the long-term re-evaluation and revision of the empirical classifications.
癫痫患者的正确诊断首先取决于癫痫发作类型的确定。确定癫痫发作类型后,必须考虑癫痫综合征的性质,包括对发作病因的关注。癫痫发作和癫痫综合征的各种分类方案的逐步演变使医生的工作变得复杂,但也为临床癫痫研究中存在的动态性提供了证据。强化监测不仅有助于个体患者的诊断,也有助于对经验性分类进行长期的重新评估和修订。