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处理首次癫痫发作。

Managing the first seizure.

作者信息

McLachlan R S

机构信息

Department of Clinical Neurological Sciences, University of Western Ontario, London.

出版信息

Can Fam Physician. 1993 Apr;39:885-8, 891-3.

PMID:8388283
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2379814/
Abstract

Although 9% of people will experience a seizure during their lifetime, most do not have epilepsy. Following the first seizure, acute systemic or neurologic disease must be excluded, electroencephalography performed, and psychosocial impact (including driving) addressed. A history of focal seizure origin, neurologic deficit on examination, an abnormal electroencephalograph, or a specific cause (such as tumour) predicts an increased risk of seizure recurrence.

摘要

尽管9%的人在一生中会经历一次癫痫发作,但大多数人并不患有癫痫。首次发作后,必须排除急性全身性或神经系统疾病,进行脑电图检查,并处理社会心理影响(包括驾驶问题)。局灶性癫痫发作起源史、检查时的神经功能缺损、脑电图异常或特定病因(如肿瘤)预示着癫痫复发风险增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8063/2379814/38ba3b53f3fa/canfamphys00110-0154-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8063/2379814/38ba3b53f3fa/canfamphys00110-0154-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8063/2379814/38ba3b53f3fa/canfamphys00110-0154-a.jpg

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1
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本文引用的文献

1
Diagnosis of seizure disorders.癫痫障碍的诊断。
Can Fam Physician. 1990 Feb;36:305-9.
2
The diagnostic assessment of single seizures. Is cranial computed tomography necessary?
Arch Neurol. 1983 Nov;40(12):744-6. doi: 10.1001/archneur.1983.04050110062010.
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Value of computed tomographic scan in the evaluation of adult patients after their first seizure.计算机断层扫描在首次发作后成年患者评估中的价值。
Ann Neurol. 1984 Jun;15(6):536-43. doi: 10.1002/ana.410150605.
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The first seizure in adult life. Value of clinical features, electroencephalography, and computerised tomographic scanning in prediction of seizure recurrence.
Lancet. 1988 Apr 2;1(8588):721-6. doi: 10.1016/s0140-6736(88)91535-8.
5
A randomized study of carbamazepine versus no medication after a first unprovoked seizure in childhood.一项关于儿童首次无诱因癫痫发作后卡马西平与不使用药物治疗的随机研究。
Neurology. 1989 Jun;39(6):851-2. doi: 10.1212/wnl.39.6.851.
6
The evaluation and treatment of seizures.癫痫发作的评估与治疗。
N Engl J Med. 1990 Nov 22;323(21):1468-74. doi: 10.1056/NEJM199011223232107.
7
The risk of seizure recurrence following a first unprovoked seizure: a quantitative review.首次无诱因发作后癫痫复发的风险:一项定量综述。
Neurology. 1991 Jul;41(7):965-72. doi: 10.1212/wnl.41.7.965.
8
National General Practice Study of Epilepsy: recurrence after a first seizure.
Lancet. 1990 Nov 24;336(8726):1271-4. doi: 10.1016/0140-6736(90)92960-p.
9
Decisions after first seizure.首次癫痫发作后的决策
Acta Neurol Scand. 1991 May;83(5):294-6. doi: 10.1111/j.1600-0404.1991.tb04704.x.
10
Magnetic resonance imaging and late-onset epilepsy.磁共振成像与迟发性癫痫
Epilepsia. 1991 May-Jun;32(3):358-64. doi: 10.1111/j.1528-1157.1991.tb04664.x.