Stankiewicz J, Stankiewicz M
Pracowni Oceny Neurotoksyczności, Instytut Medycyny Pracy, Lodzi.
Med Pr. 1993;44(6):609-15.
A decreased convulsant threshold is found in 10% of human population. This population is at higher risk of epileptic seizure in the case of exposure to harmful factors at working place or outside it. The following harmful factors should be taken into consideration: 1. traumas, 2. physical agents (high temperature, electrocution, specific sensory stimuli), 3. toxic agents (organic solvents, organophosphorus compounds, lead, alcohol, some drugs and narcotics). Therefore, detection of the decreased convulsant threshold and gathering knowledge about potential epileptogenic factors at working places and in community environment should become one of the goals for medical personnel dealing with occupational problems. The authors recommend to perform pre-employment EEG examination whenever an increased risk of epileptic seizure is suspected in a given person following an interview and information on working conditions. It is also recommended to supplement work safety and hygiene instructions.
10%的人群存在惊厥阈值降低的情况。在工作场所或其他地方接触有害因素时，这部分人群发生癫痫发作的风险更高。应考虑以下有害因素：1. 创伤；2. 物理因素（高温、触电、特定感觉刺激）；3. 有毒物质（有机溶剂、有机磷化合物、铅、酒精、某些药物和麻醉品）。因此，检测惊厥阈值降低并了解工作场所和社区环境中潜在的致癫痫因素，应成为处理职业问题的医务人员的目标之一。作者建议，在面试及了解工作条件后，一旦怀疑某人癫痫发作风险增加，就应进行入职前脑电图检查。还建议补充工作安全和卫生说明。
