耐火性非发作患者的临床特征
Sarah Fullam1, Daniel J Costello2
1Epilepsy Service, Department of Neurology, Cork University Hospital, Cork, Ireland.
Epilepsy & behavior : E&B
|April 20, 2024
概括
耐药性非发作 (NES) 影响35%的患者. 心理社会逆境和失业与耐火性NES的不良结果有关,为更好的管理策略提供了信息.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
背景情况:
- 非发作 (NES) 影响每10万人中1-35人.
- 尽管采取了最佳干预措施,但很大一部分NES患者的预后不佳.
- 了解与耐火性NES相关的因素对于改善患者的治疗结果至关重要.
研究的目的:
- 为了描述耐火性非发作 (NES) 的患者.
- 为了确定与耐火NES相关的因素.
- 改善耐火性NES患者的预后和管理策略.
主要方法:
- 在综合性中心6年时间内对被诊断患有NES的患者进行了回顾性审查.
- 在诊断后至少一年的视频EEG监测中,根据持续的发作确定耐火性NES病例.
- 对耐火和非耐火NES队列之间的倾向,沉和延续因素的比较分析.
主要成果:
- 在66名确定的NES患者中,有35%被归类为耐火患者.
- 耐火和非耐火组之间没有观察到易受影响因素的显著差异.
- 心理社会逆境,一个明显的近期冲击因素,以及在诊断时的失业与耐火性NES和糟糕的结果有显著的关联.
结论:
- 耐火性NES的特点是特定的心理社会和沉因素.
- 识别这些因素可以帮助改善NES患者的预后.
- 这项研究提供了洞察力,以加强耐火性非发作的管理.
相关概念视频
Seizures: Classification
339
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:
339
Arteries of the Lower Limbs
188
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...
188
Antiepileptic Drugs: Sodium Channel Blockers
522
Antiepileptic drugs are specialized medications that prevent seizures in individuals diagnosed with epilepsy. These drugs primarily function by blocking the movement of sodium ions through channels in the neuronal membrane, inhibiting the repetitive firing of action potentials often associated with seizures.
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...
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...
522
Antiepileptic Drugs: Potassium Channel Activators
176
Ezocgabine or retigabine, an antiepileptic drug of remarkable efficacy, has revolutionized the management of seizures. It is a potassium channel activator, explicitly targeting the family of Q subtype potassium channels. It enhances the transmembrane potassium currents, regulating neuronal excitability. This action stabilizes the resting membrane potential, a pivotal factor in mitigating the hyperexcitability that characterizes epilepsy.
Ezogabine has gained approval as an adjunctive treatment...
Ezogabine has gained approval as an adjunctive treatment...
176
Antiepileptic Drugs: Modulators of Neurotransmitter Release Mediated by SV2A Protein
288
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...
288
Antiepileptic Drugs: Glutamate Antagonists
325
Glutamate is a fundamental neurotransmitter in the central nervous system, playing a vital role in neuronal communication and various cognitive processes. Glutamate stands as the principal excitatory neurotransmitter in the brain. Its presence is crucial for the communication between neurons, underpinning essential processes such as synaptic transmission, neuronal excitability, and plasticity. These functions are vital for higher-order cognitive processes, including learning and memory. The...
325


