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[非惊厥性癫痫持续状态的鉴别特征]

[Differential traits of non-convulsive status epilepticus].

作者信息

Arroyo S

机构信息

Unidad de Epilepsia, Hospital Clínic i Provincial, Barcelona.

出版信息

Neurologia. 1997 Dec;12 Suppl 6:31-7.

PMID:9470435
Abstract

Non convulsive status epilepticus (NCSE) is defined by prolonged loss of awareness and epileptiform activity on electroencephalogram. There are several types of NCSE depending of the clinical and electroencephalographic manifestations: generalized (typical or atypical absence status, status epilepticus during sleep) and partial (complex partial and simple partial status epilepticus). NCSE diagnosis and treatment should be performed early due to the potential brain damage associated to it, specially in complex partial NCSE. Accurate differential diagnosis from other imitators of NCSE (psychogenic seizures, metabolic encephalopaties or antiepileptic drug intoxication) is necessary for early treatment.

摘要

非惊厥性癫痫持续状态(NCSE)的定义为意识长期丧失以及脑电图上出现癫痫样活动。根据临床和脑电图表现,NCSE有几种类型:全身性(典型或非典型失神状态、睡眠期癫痫持续状态)和部分性(复杂部分性和简单部分性癫痫持续状态)。由于NCSE可能导致脑损伤,尤其是复杂部分性NCSE,因此应尽早进行诊断和治疗。为了早期治疗,有必要与其他模仿NCSE的疾病(心因性发作、代谢性脑病或抗癫痫药物中毒)进行准确的鉴别诊断。

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