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脑肿瘤患者的癫痫预防。家庭医生简要综述与指南。

Seizure prophylaxis for brain tumour patients. Brief review and guide for family physicians.

作者信息

Agbi C B, Bernstein M

机构信息

Toronto Hospital.

出版信息

Can Fam Physician. 1993 May;39:1153-6, 1159-60, 1163-4.

PMID:8499795
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2379648/
Abstract

Brain tumours are relatively uncommon, but family physicians are sometimes confronted with the somewhat unnerving task of carrying on the day-to-day management of these patients. The authors examine some of the problems encountered in preventing seizures among brain tumour patients. Using illustrative clinical cases and a review of the relevant literature, guidelines are provided for the institution, maintenance, and in some cases discontinuation of seizure prophylaxis for this group of patients.

摘要

脑肿瘤相对不常见,但家庭医生有时会面临对这些患者进行日常管理的棘手任务。作者探讨了在预防脑肿瘤患者癫痫发作方面遇到的一些问题。通过列举临床病例并回顾相关文献,为该组患者癫痫预防措施的制定、维持以及在某些情况下的停用提供了指导方针。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9631/2379648/801c1747fe1f/canfamphys00111-0159-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9631/2379648/90508fb9641a/canfamphys00111-0158-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9631/2379648/801c1747fe1f/canfamphys00111-0159-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9631/2379648/90508fb9641a/canfamphys00111-0158-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9631/2379648/801c1747fe1f/canfamphys00111-0159-a.jpg

相似文献

1
Seizure prophylaxis for brain tumour patients. Brief review and guide for family physicians.脑肿瘤患者的癫痫预防。家庭医生简要综述与指南。
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引用本文的文献

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J Neurooncol. 2014 Nov;120(2):399-403. doi: 10.1007/s11060-014-1564-5. Epub 2014 Aug 2.
2
A prospective randomized trial of perioperative seizure prophylaxis in patients with intraparenchymal brain tumors.一项针对脑实质肿瘤患者围手术期癫痫预防的前瞻性随机试验。
J Neurosurg. 2013 Apr;118(4):873-883. doi: 10.3171/2012.12.JNS111970. Epub 2013 Feb 8.
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Antiepileptic drugs for preventing seizures in people with brain tumors.

本文引用的文献

1
Convulsions with meningiomas: incidence and significance.脑膜瘤伴发惊厥:发病率及意义
Surg Neurol. 1980 Dec;14(6):415-6.
2
Stopping medication in children with epilepsy: predictors of outcome.癫痫患儿停药:预后的预测因素
N Engl J Med. 1981 May 7;304(19):1125-9. doi: 10.1056/NEJM198105073041902.
3
Seizures following intracranial surgery: incidence in the first post-operative week.
Can J Neurol Sci. 1980 Nov;7(4):285-90. doi: 10.1017/s0317167100022757.
用于预防脑肿瘤患者癫痫发作的抗癫痫药物。
Cochrane Database Syst Rev. 2008 Apr 16;2008(2):CD004424. doi: 10.1002/14651858.CD004424.pub2.
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Can surveying practitioners about their practices help identify priority clinical practice guideline topics?向从业者调查他们的实践情况有助于确定临床实践指南的优先主题吗?
BMC Health Serv Res. 2003 Dec 19;3(1):23. doi: 10.1186/1472-6963-3-23.
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Phenytoin: pharmacokinetics and clinical therapeutics.苯妥英钠:药代动力学与临床治疗学
Neurosurgery. 1981 Jan;8(1):112-7. doi: 10.1227/00006123-198101000-00022.
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Seizures during the immediate postoperative period.
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Prognosis in childhood epilepsy: additional follow-up of 148 children 15 to 23 years after withdrawal of anticonvulsant therapy.儿童癫痫的预后:抗惊厥治疗停药15至23年后对148名儿童的额外随访
N Engl J Med. 1982 Apr 8;306(14):831-6. doi: 10.1056/NEJM198204083061403.
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The late prognosis of epilepsy in childhood: results of a prospective follow-up study.儿童癫痫的远期预后:一项前瞻性随访研究的结果
Epilepsia. 1984 Apr;25(2):137-44. doi: 10.1111/j.1528-1157.1984.tb04169.x.
8
Immunosuppression by phenytoin: implication for altered immune competence in brain-tumor patients.苯妥英钠引起的免疫抑制:对脑肿瘤患者免疫能力改变的影响。
J Neurosurg. 1984 Dec;61(6):1085-90. doi: 10.3171/jns.1984.61.6.1085.
9
Phenytoin impairs the bioavailability of dexamethasone in neurological and neurosurgical patients.苯妥英钠会降低神经科和神经外科患者体内地塞米松的生物利用度。
J Neurol Neurosurg Psychiatry. 1984 Oct;47(10):1087-90. doi: 10.1136/jnnp.47.10.1087.
10
Phenytoin and postoperative epilepsy. A double-blind study.苯妥英钠与术后癫痫。一项双盲研究。
J Neurosurg. 1983 May;58(5):672-7. doi: 10.3171/jns.1983.58.5.0672.