治疗中风后发作的临床方法:一篇综述
Han Uk Ryu1,2, Hong Jin Kim1,2, Byoung-Soo Shin1,2
1Department of Neurology, Jeonbuk National University Medical School and Hospital, Jeonju, Republic of Korea.
Frontiers in neurology
|April 25, 2024
概括
脑卒中后的发作在中风后的成年人中很常见. 区分早期和晚期发作指导治疗,晚期发作通常需要长期药物治疗.
科学领域:
- 神经学 神经学
- 发病学 (Epileptology) 是一个专业的学科.
- 脑卒中医学 脑卒中医学
背景情况:
- 脑卒中后发作是成人中风的常见并发症.
- 在中风后诊断发作可能是具有挑战性的,因为症状与其他疾病重叠.
- 区分早期和晚期的中风后发作对于管理至关重要.
研究的目的:
- 为了提供关于中风后发作的全面概述.
- 为突出诊断挑战和差异诊断.
- 讨论基于发作时间的治疗策略.
主要方法:
- 系统审查关于中风后发作的文献.
- 诊断标准和差异诊断的分析.
- 对早期和晚期发作的治疗方法的评估.
主要成果:
- 早期发作 (在7天内) 类似于急性症状发作,很少复发.
- 晚期发作 (7天后) 与未引起的发作有类似的复发风险,需要长期治疗.
- 不同诊断包括运动障碍,昏迷和功能性发作.
结论:
- 系统诊断中风后发作是必不可少的,包括差异诊断.
- 将发作分类为早期或晚期,可以告知治疗持续时间和药物选择.
- 晚期中风后发作可能需要长期服用抗发作药物.
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