功能性发作:它们是否随着时间的推移而保持一致?
Elian Bahous1, Raz Wagner1, Moshe Herskovitz1,2
1Department of Neurology, Rambam Health Care Campus, Haifa, Israel.
Brain and behavior
|February 20, 2024
概括
功能性 (FS) 在多次视频EEG监测 (VEEG) 会议的患者中保持一致,即使相隔数年. 这表明FS是一个稳定的现象,支持进一步研究其起源.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 临床神经生理学 临床神经生理学
背景情况:
- 之前的研究表明,功能性 (FS) 在单个视频EEG监测 (VEEG) 会议中是一致的.
- 这项研究研究了多年来在单独的VEEG会话中FS的长期一致性.
研究的目的:
- 为了确定功能性 (FS) 在多个视频EEG监测 (VEEG) 会议中长时间保持类型,受影响区域和持续时间的一致性.
- 评估VEEG会话之间的时间间隔与FS一致性程度之间的相关性.
主要方法:
- 在VEEG会话中评估FS的一致性,使用以下标准:发作类型,涉及的初级/二级解剖区域,运动频率和持续时间.
- 根据会话中一致的特征数量,将一致性级别分类为低,中等或高.
- 分析了14名患者的数据,VEEG监测之间的平均间隔为3.8年.
主要成果:
- 在14名患者中,有13名患者在第一次和第二次VEEG会话之间显示FS类型的一致性.
- 运动FS在主要解剖区域 (9/12患者) 和其他涉及区域 (9/12患者) 中表现一致.
- 大多数患者 (10/14) 在FS表现出高一致性,持续时间是最不一致的特征.
结论:
- 功能性 (FS) 在几年内在个体患者中表现出显著的一致性,支持FS作为稳定的现象的概念.
- 在VEEG会话间的时间和FS的一致性程度之间没有明确的相关性.
- 这些发现表明了潜在的新研究方向,以了解功能性的潜在机制.
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