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[脑电图对成人癫痫患者治疗预后的意义]

[Significance of the EEG for the prognosis of therapy in adult epileptic patients].

作者信息

Broeker H, Müller D

出版信息

Psychiatr Neurol Med Psychol (Leipz). 1986 Sep;38(9):509-17.

PMID:3099322
Abstract

The importance of EEG findings regarding prognosis of therapy and relapses of epilepsies is controversally discussed in the literature. On the basis of 495 patients being in attendance for many years there were some important indications for prognosis, for instance 59 percent of the patients with normal EEG at all times during the cours attained freedom from seizures for at least five years. The best possibilities for differentiation followed from EEG features during medication, especially from degree od disturbances of background activity. Only 13 percent of patients with more than slight disturbances in resting EEG remained seizure free for a long time. Also as a distinctly unfavourable sign proved the combination of generalized and focal epileptiform pattern.

摘要

脑电图检查结果对癫痫治疗预后及复发的重要性在文献中存在争议。基于495例多年来持续接受治疗的患者,发现了一些重要的预后指标,例如,病程中脑电图始终正常的患者中有59%至少五年无癫痫发作。用药期间脑电图特征,尤其是背景活动的紊乱程度,最有助于进行鉴别。静息脑电图有明显紊乱的患者中,只有13%能长期无癫痫发作。全身性和局灶性癫痫样模式并存也被证明是明显的不良迹象。

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