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时机已到!癫痫评估与治疗中的时机问题。

It's About Time! Timing in Epilepsy Evaluation and Treatment.

作者信息

McKee Heather Ravvin, Vidaurre Jorge, Clarke Dave, Wagner Janelle, W Britton Jeffrey, Laux Linda, Trinka Eugen, Rubinos Clio, McDonald Tanya J W, Lado Fred A, Bebin Martina, Papadelis Christos, Struck Aaron F, Maciel Carolina B, Velasco Ana L, Chandran Arjun, Pati Sandipan, Tandon Nitin, Vaca Guadalupe Fernandez-Baca, Berl Madison M, Moosa Ahsan N

机构信息

Neurology, University of Cincinnati Medical Center, Cincinnati, OH, USA.

EEG Laboratory, Nationwide Children's Hospital, Columbus, OH, USA.

出版信息

Epilepsy Curr. 2024 Apr 1:15357597241238072. doi: 10.1177/15357597241238072.

Abstract

The 2023 American Epilepsy Society Annual Course "It's About Time" addressed timing in epilepsy evaluation and treatment with respect to health disparity and vulnerable populations and diagnostic, clinical, and epilepsy surgery evaluation. This comprehensive course included topics on gaps in epilepsy care and optimization of behavioral health for patients with epilepsy. The summary details current knowledge in areas of seizure forecasting and epileptogenesis. Intricacies and controversies over timing were discussed for treatment of nonconvulsive seizures and ictal-interictal patterns, acute symptomatic seizures, neuromodulation versus surgery, and epilepsy surgery in status epilepticus. Timing regarding clinical care in autoimmune-associated epilepsy, developmental and epileptic encephalopathy, and dietary therapy were examined. Additionally, salient topics on using novel biomarkers and collaboration with neuropsychological outcomes were also tackled in this all-encompassing lecture series.

摘要

2023年美国癫痫协会年度课程“时机至关重要”探讨了癫痫评估和治疗中的时机问题,涉及健康差异和弱势群体以及诊断、临床和癫痫手术评估。这一综合课程涵盖了癫痫护理差距以及癫痫患者行为健康优化等主题。总结阐述了癫痫发作预测和癫痫发生领域的当前知识。针对非惊厥性癫痫发作和发作期-发作间期模式、急性症状性癫痫发作、神经调节与手术以及癫痫持续状态下的癫痫手术治疗,讨论了时机的复杂性和争议点。还研究了自身免疫相关性癫痫、发育性和癫痫性脑病临床护理以及饮食疗法的时机。此外,这个内容全面的系列讲座还探讨了使用新型生物标志物以及与神经心理学结果协作等重要主题。

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本文引用的文献

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Seizure Detection, Prediction, and Forecasting.癫痫发作的检测、预测和预报。
J Clin Neurophysiol. 2024 Mar 1;41(3):207-213. doi: 10.1097/WNP.0000000000001045.

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