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儿童急性发作的评估和处理。

Acute Seizures-Work-Up and Management in Children.

机构信息

Section of Pediatric Neurology, Department of Pediatrics, Rush University Medical Center, Chicago, Illinois.

出版信息

Semin Neurol. 2020 Dec;40(6):606-616. doi: 10.1055/s-0040-1718718. Epub 2020 Nov 5.

Abstract

Seizures are common in the pediatric population; however, most children do not go on to develop epilepsy later in life. Selecting appropriate diagnostic modalities to determine an accurate diagnosis and appropriate treatment as well as with counseling families regarding the etiology and prognosis of seizures, is essential. This article will review updated definitions of seizures, including provoked versus unprovoked, as well as the International League Against Epilepsy operational definition of epilepsy. A variety of specific acute symptomatic seizures requiring special consideration are discussed, along with neonatal seizures and seizure mimics, which are common in pediatric populations.

摘要

癫痫发作在儿科人群中很常见;然而,大多数儿童不会在以后的生活中发展为癫痫。选择适当的诊断方式来确定准确的诊断和适当的治疗,并就癫痫发作的病因和预后向家庭提供咨询,这是至关重要的。本文将回顾癫痫发作的最新定义,包括诱发性与非诱发性,以及国际抗癫痫联盟的癫痫操作性定义。讨论了各种需要特殊考虑的特定急性症状性癫痫发作,以及新生儿癫痫发作和儿童中常见的癫痫发作模拟。

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