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新生儿癫痫性脑病。

Neonatal Epileptic Encephalopathies.

机构信息

Department of Pediatrics, Baylor College of Medicine, San Antonio, TX; The Children's Hospital of San Antonio, San Antonio, TX.

Department of Pediatrics, Baylor College of Medicine, San Antonio, TX; The Children's Hospital of San Antonio, San Antonio, TX; Pediatrix Medical Group of San Antonio, San Antonio, TX.

出版信息

Semin Pediatr Neurol. 2021 Apr;37:100880. doi: 10.1016/j.spen.2021.100880. Epub 2021 Mar 4.

Abstract

The majority of neonatal seizures are related to common diagnoses, including hypoxic-ischemic encephalopathy and intraventricular hemorrhage. While relatively uncommon, neonatal epileptic encephalopathies represent an important group of neonatal seizure disorders that require immediate diagnosis and intervention. In this review, we provide a summary of the benign and severe neonatal epilepsy syndromes. While benign epilepsy syndromes have favorable prognoses, rapid and accurate diagnosis may prevent an unnecessarily long course of antiseizure medications. The severe epilepsy syndromes may be related to a number of underlying genetic disorders and often carry a poor prognosis. Herein we review diagnostic and therapeutic strategies, and provide a set or algorithms for said purposes.

摘要

大多数新生儿癫痫发作与常见诊断有关,包括缺氧缺血性脑病和脑室出血。虽然相对少见,但新生儿癫痫性脑病代表了一组重要的新生儿癫痫发作性疾病,需要立即诊断和干预。在这篇综述中,我们总结了良性和严重的新生儿癫痫综合征。虽然良性癫痫综合征预后良好,但快速准确的诊断可能会避免不必要的抗癫痫药物治疗。严重的癫痫综合征可能与多种潜在的遗传疾病有关,且往往预后不良。本文回顾了诊断和治疗策略,并为此提供了一套算法。

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