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[儿童和成人癫痫的基础与进阶治疗]

[Basic and advanced treatment of children and adults with epilepsy].

作者信息

Hoei-Hansen Christina E, Tinggaard Jeanette, Kløvgaard Marius, Sabers Anne

机构信息

Afdeling for Børn og Unge, Københavns Universitetshospital - Rigshospitalet.

Institut for Klinisk Medicin, Sundhedsvidenskabeligt Fakultet, Københavns Universitet.

出版信息

Ugeskr Laeger. 2022 Jun 27;184(26).

PMID:35786227
Abstract

This review finds that, in children and adults with epilepsy, there are several treatment options. Multiple antiseizure medications are available and in case of drug-resistant epilepsy, a non-pharmacological approach is recommended, including epilepsy surgery, vagus nerve stimulation, or ketogenic diet treatment. The aim of the treatment is to avoid further seizures, but also to avoid negative cognitive, psychological, and social consequences of epilepsy.

摘要

本综述发现,对于患有癫痫的儿童和成人,有多种治疗选择。有多种抗癫痫药物可供使用,对于耐药性癫痫,建议采用非药物治疗方法,包括癫痫手术、迷走神经刺激或生酮饮食治疗。治疗的目的是避免进一步发作,同时也要避免癫痫带来的负面认知、心理和社会后果。

相似文献

1
[Basic and advanced treatment of children and adults with epilepsy].[儿童和成人癫痫的基础与进阶治疗]
Ugeskr Laeger. 2022 Jun 27;184(26).
2
[Treatment of status epilepticus in children and adults].[儿童和成人癫痫持续状态的治疗]
Ugeskr Laeger. 2022 Jun 27;184(26).
3
A side-by-side comparison of fine-tuning options for treatment of medically refractory epilepsy: Antiseizure medications, vagus nerve stimulation and ketogenic diet therapies.抗癫痫药物、迷走神经刺激和生酮饮食治疗药物对治疗药物难治性癫痫的微调选项的并排比较。
Epilepsy Res. 2024 Oct;206:107441. doi: 10.1016/j.eplepsyres.2024.107441. Epub 2024 Aug 17.
4
Cost-utility analysis of competing treatment strategies for drug-resistant epilepsy in children with Tuberous Sclerosis Complex.结节性硬化症患儿耐药性癫痫的竞争性治疗策略的成本效用分析
Epilepsy Behav. 2016 Oct;63:79-88. doi: 10.1016/j.yebeh.2016.07.034. Epub 2016 Aug 31.
5
Fifteen-minute consultation: When medicines don't work-the child with poorly controlled seizures.15分钟会诊:当药物不起作用时——癫痫控制不佳的儿童
Arch Dis Child Educ Pract Ed. 2019 Jun;104(3):135-140. doi: 10.1136/archdischild-2018-316035. Epub 2018 Nov 24.
6
[Treatment with neurostimulation and ketogenic diet for people with medically refractory epilepsy].[针对药物难治性癫痫患者的神经刺激和生酮饮食治疗]
Lakartidningen. 2018 May 22;115:E6MD.
7
Economic evaluations of nonpharmacological treatments for drug-resistant epilepsy: A systematic review.抗药性癫痫非药物治疗之经济评估:系统性文献回顾。
Epilepsia. 2023 Nov;64(11):2861-2877. doi: 10.1111/epi.17742. Epub 2023 Aug 17.
8
Pharmacoresistance - Epidemiology, mechanisms, and impact on epilepsy treatment.药物抵抗性 - 流行病学、机制及其对癫痫治疗的影响。
Neuropharmacology. 2020 May 15;168:107790. doi: 10.1016/j.neuropharm.2019.107790. Epub 2019 Sep 24.
9
Vagus nerve stimulation in the treatment of drug-resistant epilepsy in 29 children.迷走神经刺激术治疗29例儿童耐药性癫痫
Eur J Paediatr Neurol. 2016 May;20(3):346-51. doi: 10.1016/j.ejpn.2016.01.011. Epub 2016 Feb 8.
10
Do certain subpopulations of adults with drug-resistant epilepsy respond better to modified ketogenic diet treatments? Evaluation based on prior resective surgery, type of epilepsy, imaging abnormalities, and vagal nerve stimulation.对于耐药性癫痫的某些亚群成人,改良生酮饮食治疗的效果是否更好?基于既往切除性手术、癫痫类型、影像学异常和迷走神经刺激评估。
Epilepsy Behav. 2019 Apr;93:119-124. doi: 10.1016/j.yebeh.2019.01.010. Epub 2019 Feb 7.

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Evaluation of the Effect of Parenting Style and Parental Mealtime Actions on the Eating Behavior of Children with Epilepsy.评价养育方式和父母用餐行为对癫痫患儿饮食行为的影响。
Nutrients. 2024 May 2;16(9):1384. doi: 10.3390/nu16091384.