Aminoff M J
School of Medicine, University of California, San Francisco 94143, USA.
Can J Neurol Sci. 1998 Feb;25(1):S4-6. doi: 10.1017/s0317167100034648.
The pharmacologic management of major motor status epilepticus is summarized. When general anesthesia is required, the electroencephalogram (EEG) is used for monitoring the adequacy of treatment. The EEG findings may also be important in recognizing status epilepticus and monitoring its response to treatment when this is clinically difficult, as when it occurs in comatose or pharmacologically paralyzed patients or in the context of severe brain damage. Finally, the EEG helps to clarify the nature of motor activities of uncertain basis in patients in the intensive care unit and has indicated that non-convulsive seizures or status are more common than clinically suspected in such patients.
本文总结了主要运动性癫痫持续状态的药物治疗。当需要全身麻醉时，脑电图（EEG）用于监测治疗的充分性。当临床上难以识别癫痫持续状态或监测其对治疗的反应时，脑电图结果可能也很重要，例如当癫痫持续状态发生在昏迷或药物性麻痹的患者中或在严重脑损伤的情况下。最后，脑电图有助于明确重症监护病房中运动活动基础不明的患者的运动活动性质，并表明非惊厥性癫痫发作或癫痫持续状态在这类患者中比临床怀疑的更为常见。
