患有的妇女的产前发作和多学科考虑如何预防它们
Melanie Nana1,2, Surabhi Nanda1,2, Jennifer Nightingale1
1Guy's and St Thomas' NHS Foundation Trust, London, UK.
Epileptic disorders : international epilepsy journal with videotape
|September 28, 2024
概括
周产期对患有的妇女 (WWE) 发作风险很大,7.5%的妇女经历了. 改善妊娠前咨询和及时调整药物治疗对于改善母亲和胎儿的结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
背景情况:
- 在分娩期间的发作影响了3.5%的患者 (WWE),导致母亲和胎儿并发症.
- 观察到周周发作增加促使对患者管理进行审查.
研究的目的:
- 为了确定患有的妇女 (WWE) 中周周发作的发生率.
- 确定在周边时期管理WWE的关键学习点.
主要方法:
- 对于WWE在2017-2022年期间经历周周发作的回顾性审查.
- 多学科团队 (MDT) 审查以确定共同的主题和学习点.
主要成果:
- 在WWE的106人中,有8人 (7.5%) 经历了周周发作.
- MDT确定了关键的学习点,包括怀孕前咨询,迅速增加抗药物 (AED) 标位和周围产妇管理策略.
结论:
- 周产期仍然是WWE中发作高风险阶段.
- 对于WWE的周边管理指南,存在有限的证据.
- 分享临床经验至关重要,以改善对这一脆弱群体的护理和减轻风险.
更多相关视频
06:58Non-restraining EEG Radiotelemetry: Epidural and Deep Intracerebral Stereotaxic EEG Electrode Placement
Published on: June 25, 2016
19.1K
05:54Stereo-Electro-Encephalo-Graphy SEEG With Robotic Assistance in the Presurgical Evaluation of Medical Refractory Epilepsy: A Technical Note
Published on: June 13, 2016
17.1K
相关概念视频
Arteries of the Lower Limbs
181
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...
181
Seizures: Classification
307
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:
307
Antiepileptic Drugs: GABAergic Pathway Potentiators
341
γ-aminobutyric acid or GABA, plays a pivotal role as an inhibitory neurotransmitter in the brain. GABA pathway potentiators, also known as GABAergic drugs, are a class of pharmaceutical agents designed to enhance the functioning of the GABAergic system. These medications primarily treat epilepsy, a neurological disorder characterized by recurrent seizures.
The key GABA pathway potentiators used in epilepsy management are as follows.
Benzodiazepines are a well-known class of drugs used for...
The key GABA pathway potentiators used in epilepsy management are as follows.
Benzodiazepines are a well-known class of drugs used for...
341
Antiepileptic Drugs: Sodium Channel Blockers
449
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...
449
Antiepileptic Drugs: Glutamate Antagonists
292
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...
292
Electroconvulsive Therapy
28
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
28
