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[儿童癫痫的诊断问题]

[Diagnostic problems in childhood epilepsy].

作者信息

Nieto-Barrera M

机构信息

Sección de Neurología Pediátrica, Hospital Infantil Virgen del Rocio, Sevilla, España.

出版信息

Rev Neurol. 1998 Feb;26(150):298-301.

PMID:9563098
Abstract

The correct diagnosis of the epileptic patient must establish the type of seizures according to the 1981 ILAE ICES, and the epileptic syndrome according to the 1989 ILAE ICE. Some children, at the onset of epilepsy, are difficult to classify. These are the reasons which can cause the diagnostic problems: 1. Misdiagnosis as epilepsy the non-epileptic seizures. 2. Misclassifying the type of seizures for incomplete or inadequate information. 3. Misclassifying the type of epileptic syndromes due to overlapping of different syndromes or because the patient presents more than one syndrome at the same time or during the course of the illness. It follows from this that it is not easy to classify all cases of epilepsy. The 'forced' as inadequate classification can give rise to a therapeutic or prognostic misdiagnosis.

摘要

癫痫患者的正确诊断必须根据1981年国际抗癫痫联盟(ILAE)国际分类法确定发作类型,并根据1989年ILAE国际分类法确定癫痫综合征。有些儿童在癫痫发作初期难以分类。以下是可能导致诊断问题的原因:1. 将非癫痫性发作误诊为癫痫。2. 由于信息不完整或不充分而错误分类发作类型。3. 由于不同综合征重叠,或患者在疾病过程中同时出现不止一种综合征,而错误分类癫痫综合征类型。由此可见,对所有癫痫病例进行分类并不容易。“强行”进行不充分的分类可能导致治疗或预后误诊。

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