在手术结果上,病史上的 status epilepticus 的影响
J Colin1, A O Rossetti2, R T Daniel3
1EEG and Epilepsy Unit and Neurosurgery Clinics, Department of Clinical Neurosciences, University Hospital of Geneva (HUG) and Faculty of Medicine, Geneva, Switzerland.
Epilepsy research
|February 7, 2024
概括
在病史中出现的状态 (SE) 或集群 (SC) 不会使手术的结果恶化. 患有SE史的患者接受了较早的诊断和手术,表明对SE并发症的认识增加.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 发病学 (Epileptology) 是一个专业的学科.
背景情况:
- 焦点抗药性患者是手术的候选人.
- 状态 (SE) 和集群 (SC) 可能表明广泛的性网络.
- SE或SC史对手术结果的影响还不清楚.
研究的目的:
- 调查SE或SC病史是否会影响患者的手术结果.
- 为了比较有或没有SE或SC病史的患者之间的手术结果.
主要方法:
- 244名手术患者 (2000-2018年) 的回顾性评估,随访时间≥2年.
- 将SE或SC病史患者与没有这些疾病的对照组进行比较.
- 基于SE或SC的术前病史的术后结果分析.
主要成果:
- 与对照人群相比,在SE或SC病史患者中没有观察到术后结果的显著差异.
- 患有SE病史的患者在显著更年轻的年龄和更短的疾病持续时间后被诊断和手术.
- 发作发作的年龄在不同组中是相似的.
结论:
- 史上的SE或SC并没有与的手术结果较差有关.
- 对SE患者的早期外科转诊表明,临床医生对SE风险的认识增加了.
- 强调SC和频繁发作影响的政策可能会提高患者转诊率.
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