最近审阅: 3 十一月 2020
最近更新: 05 三月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 局灶性神经功能障碍
  • 局灶性神经症状(发作前或后)
  • 感觉先兆或体验(害怕、上腹不适感、似曾相识、陌生感)
  • 暂时性轻偏瘫
  • 短暂失语
  • 发热、颈强直、精神状态改变

其他诊断因素

  • 神经性疾病的神经皮肤检查

危险因素

  • 全面发作性癫痫的家族史(扩展的或直系的)
  • 早期中枢神经系统 (CNS) 感染
  • 头部外伤
  • 既往发作事件或疑似发作事件
  • 物质使用史
  • 早产
  • 多次或复杂性热性惊厥

诊断性检查

首要检查

  • 脑电图 (EEG)
  • 血糖
  • 全血细胞计数 (FBC)
  • 电解质检查
  • 毒理学筛查
  • 头部 CT
  • 血清催乳素
  • 血清肌酸激酶 (CK)
更多 首要检查

需考虑的检查

  • 腰椎穿刺术:
  • 颅脑 MRI 扫描
更多 需考虑的检查

治疗流程

撰稿人

Assistant Professor

Clinical Neurology

University of California, San Francisco

San Francisco

CA

利益声明

VRR is an author of a number of references cited in this monograph. He served as a paid consultant for NeuroPace, Inc., manufacturer of the Responsive Neurostimulation (RNS) System.

Associate Professor

Clinical Neurology

University of California, San Francisco

San Francisco

CA

利益声明

JDH has received research funding and consultancy funds from UCB Inc.

Dr Vikram R. Rao and Dr John D. Hixson would like to gratefully acknowledge Dr Daniel H. Lowenstein, a previous contributor to this topic. DHL declares that he has no competing interests.

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Chief

Division of Epilepsy and Sleep

Department of Neurology

Brigham and Women's Hospital

Associate Professor of Neurology

Harvard Medical School

Boston

MA

利益声明

EBB has received speaking fees from ICR Pharma, Novartis, Abbott Laboratories, GlaxoSmithKline, and Pfizer. He has received consulting fees from ICR Pharma, Genzyme, and Spherics, and research funding from UCB Pharma. Unfortunately we have since been made aware that EBB is deceased.

Honorary Clinical Senior Lecturer

University of Glasgow

Institute of Neurological Sciences

Glasgow

UK

利益声明

Not disclosed.

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