儿童的发生在儿童中
1Department of Child Neurology and Psychiatry, University of Pisa and IRCCS Fondazione Stella Maris, 56018 Calambrone, Pisa, Italy. renzo.guerrini@inpe.unipi.it
儿童影响全球1050万名儿童. 在诊断和了解综合征方面的进步改善了治疗方法,尽管新的药物提供了有限的益处.
科学领域:
- 儿科神经学 儿科神经学
- 发病学 (Epileptology) 是一个专业的学科.
背景情况:
- 影响全球1050万名儿童,呈现出不同的临床和病因概况.
- 综合征导向诊断,EEG和神经成像技术的显著进展,在过去15年里,提高了对儿童的理解和管理.
研究的目的:
- 审查当前对儿童的理解,包括其多样性,原因和管理策略.
- 突出了解性脑病的年龄相关表达和机制的挑战.
主要方法:
- 对临床和病因学诊断方法的审查,包括EEG和神经成像.
- 对近期治疗进展和小儿手术选择的分析.
主要成果:
- 周产期/后感染性脑病变,皮质形和海马硬化是严重症状性的关键原因.
- 离子通道缺陷有助于良性和严重的性脑病变,与年龄相关表达的潜在机制尚不清楚.
- 新的抗药物提供有限的益处,但改进的药物选择和避免多疗法提高了生活质量.
结论:
- 虽然诊断工具已经改善了儿童的管理,但对潜在机制的理解,特别是对于性脑病变,需要进一步的研究.
- 优化药物选择和合理使用手术对于改善患者的治疗结果至关重要.
- 需要进一步研究与年龄相关的的表现和性脑病变的起源.
更多相关视频
07:01Electrophoretic Delivery of γ-aminobutyric Acid GABA into Epileptic Focus Prevents Seizures in Mice
Published on: May 16, 2019
10:22Interictal High Frequency Oscillations Detected with Simultaneous Magnetoencephalography and Electroencephalography as Biomarker of Pediatric Epilepsy
Published on: December 6, 2016
相关概念视频
Epilepsy and Seizures: Overview
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Seizures: Classification
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:
Antiepileptic Drugs: Sodium Channel Blockers
Sodium channel blockers modulate ion channels, particularly voltage-gated sodium channels. They block only sodium ion movement.
Among the most commonly prescribed antiepileptic drugs are...
Antiepileptic Drugs: Calcium Channel Blockers
Calcium channel blockers exert their antiepileptic effects by targeting T-type calcium channels, which are integral to transmitting nerve signals in the central nervous system. These channels allow the passage of calcium ions, which are vital for neuronal communication. By inhibiting T-type calcium channels, calcium channel blockers effectively reduce the release of neurotransmitters and...
Antiepileptic Drugs: Modulators of Neurotransmitter Release Mediated by SV2A Protein
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...
Antiepileptic Drugs: Glutamate Antagonists
