Nussbaum K, O'Connor S
J Occup Med. 1977 Sep;19(9):615-8.
Severity of impairment in seizure disorders is typically difficult to assess because of the existence of seizure-free intervals of varying duration, often in the absence of neurological or other clinical signs. For purposes of determining degree of severity, clear documentation and description of seizures, as well as of any associated phenomena such as loss of sphincter control and the side effects of medication, are needed. Differentiation between primary and secondary seizure disorders is also important because the latter frequently are associated with other impairments. The approach to assessment advocated is based on the incidence and intensity of seizures remaining after maximum therapeutic control has been achieved. An assessment form has been developed which concisely summarizes salient case features. A composite case report is appended for the purpose of demonstrating use of the form. Instructions are in the Appendix.
癫痫障碍的损伤严重程度通常难以评估，因为存在不同持续时间的无癫痫发作期，且往往没有神经学或其他临床体征。为了确定严重程度，需要清晰记录和描述癫痫发作以及任何相关现象，如括约肌控制丧失和药物副作用。区分原发性和继发性癫痫障碍也很重要，因为后者常与其他损伤相关。所倡导的评估方法基于在实现最大治疗控制后癫痫发作的发生率和强度。已制定了一份评估表，简要总结了突出的病例特征。为演示该表格的使用，附录了一份综合病例报告。说明在附录中。
