功能性发作及其模仿:从第三级视频遥测数据库中对病例进行了事后服务审查
Peter Dudley1, Jan Paul Marquez1, Fiona Farrell1
1Department of Epilepsy, Chalfont Centre for Epilepsy, Chalfont St Peter SL9 0RJ, UK.
BMJ neurology open
|August 9, 2024
概括
一小部分疑似功能性发作 (FS) 的患者在视频遥测EEG (VTEEG) 后被重新分类为发作 (ES) 或其他诊断. 意识到这些功能性发作模仿是临床上很重要的.
科学领域:
- 神经学 神经学
- 发病学 (Epileptology) 是一个专业的学科.
- 在性疾病的诊断挑战.
背景情况:
- 功能性发作 (FS) 往往难以区分于发作 (ES).
- 准确的诊断对于适当的患者管理和治疗至关重要.
研究的目的:
- 确定疑似功能性发作 (FS) 患者中被重新诊断为发作 (ES) 或视频遥测后EEG (VTEEG) 替代诊断的比例.
- 从FS改为ES或其他疾病的诊断的患者的发作类型和特征的特征.
主要方法:
- 对从2019年至2022年期间入院的444名患者的视频遥测EEG (VTEEG) 报告的审查.
- 比较VTEEG前和VTEEG后的诊断,以确定诊断修订.
- 将修订后的病例分类为基于发作特征的队列,以描述功能性发作模仿.
主要成果:
- 4.7%最初涉嫌功能性发作 (FS) 的患者被重新诊断为发作 (ES) 或其他疾病.
- 确定的队列包括额叶ES,功能重叠的ES,自主/经验症状的岛屿/叶ES,以及在停药期间发现的ES.
结论:
- 一小部分疑似功能性发作 (FS) 的患者被重新归类为发作 (ES) 或另一种诊断.
- 识别这些功能性发作模仿者对于准确的临床诊断和患者护理至关重要.
相关概念视频
Seizures: Classification
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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:
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Arteries of the Lower Limbs
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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...
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