大人 や 青少年 の 発作 の 概要
Jay R Gavvala1, Stephan U Schuele2
1Department of Neurology, Baylor College of Medicine, Houston, Texas.
JAMA
|December 28, 2016
まとめ
発作は多いが 発作は少ない 正確な診断は適切な治療の鍵であり,不必要な医療介入を避けるために,エピレプシーと単発発発作や非エピレプシーイベントを区別する.
科学分野:
- 神経学
- エピレプト学
背景:
- 人口の約8〜10%が 発作を経験します
- これらの患者の2~3%だけがを発症する.
- 正確な診断は適切な治療と リスクが低い患者の不必要な介入を防ぐために不可欠です
研究 の 目的:
- 急性症状発作,単発発作,新発作を区別する.
- 効果的な患者管理のための正確な診断の重要性を強調する.
- エピレプシーのリスクとタイプに基づいて治療決定を導くために.
主な方法:
- 詳細な病歴と身体検査
- 研究室での検査と脳イメージング (エピレプシープロトコルによるMRI).
- 電気脳図 (EEG) を用いる
主要な成果:
- 発作の種類 (急性症候群,誘発性,性) を区別することが重要です.
- エピレプシーの診断は 医療,社会,感情に重大な影響を及ぼします
- リスク評価にはEEGやMRIのような 特定の診断ツールが不可欠です
結論:
- 正確な診断は を他の発作と区別し 治療を導くのです
- 一回性発作の患者に不必要な治療を予防するために,注意深く評価する必要があります.
- 適切な抗薬の選択とカウンセリングは,診断されたの患者にとって不可欠です.
さらに関連する動画
07:01Electrophoretic Delivery of γ-aminobutyric Acid GABA into Epileptic Focus Prevents Seizures in Mice
Published on: May 16, 2019
9.6K
09:16Use of a Wireless Video-EEG System to Monitor Epileptiform Discharges Following Lateral Fluid-Percussion Induced Traumatic Brain Injury
Published on: June 21, 2019
26.5K
関連する概念動画
Epilepsy and Seizures: Overview
1.8K
Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
1.8K
Seizures: Classification
2.5K
Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
2.5K
Antiepileptic Drugs: Modulators of Neurotransmitter Release Mediated by SV2A Protein
1.2K
Antiepileptic drugs, such as levetiracetam (Keppra) and brivaracetam (Briviact), have emerged as crucial tools in managing epilepsy. These medications exert their therapeutic effects by targeting the synaptic vesicle protein SV2A, a transmembrane glycoprotein primarily found in the brain.
SV2A is a transmembrane glycoprotein located predominantly in the brain, modulating the release of neurotransmitters for neuronal communication. Both levetiracetam and brivaracetam exhibit a high affinity for...
SV2A is a transmembrane glycoprotein located predominantly in the brain, modulating the release of neurotransmitters for neuronal communication. Both levetiracetam and brivaracetam exhibit a high affinity for...
1.2K
Seizures l: Introduction
43
Understanding seizures and epilepsy relies on key definitions that help in recognizing, classifying, and managing these disorders. These definitions provide a framework for recognizing, classifying, and managing seizure disorders.DefinitionsA seizure is a sudden, abnormal burst of electrical activity in the brain that can cause changes in awareness, movement, sensation, or behavior, depending on the area involved. Epilepsy is a chronic condition characterized by recurrent, unprovoked seizures,...
43
Seizures ll: Types
42
Seizures are sudden bursts of abnormal electrical discharge in the brain that interfere with normal function. They are commonly divided into three groups: focal seizures, generalized seizures, and other types that do not fit neatly into either category.Focal SeizuresFocal seizures begin in a single brain region. When awareness is preserved, they are called focal aware seizures and may cause sensations such as tingling, unusual smells, or flashing lights. When awareness is impaired, they are...
42
Epilepsy ll: Types
54
Recurrent seizures, stemming from abnormal electrical activity in the brain, are the defining characteristic of epilepsy, a chronic neurological condition. Because seizure features vary greatly, epilepsy is classified using two systems: by seizure type and by epilepsy syndromes. These classifications enable clinicians to describe seizure patterns and select suitable treatment strategies.I. Classification by Seizure Type1. Focal EpilepsyFocal epilepsy begins in one hemisphere of the brain.
54
