最近审阅: 24 十月 2020
最近更新: 06 六月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 身体一侧或身体一个特定部位的运动症状
  • 先兆感觉或体验(害怕、上腹不适感、似曾相识、陌生感)
  • 自动症(撕扯衣服、咂口唇)
  • 短暂性失语
  • 凝视以及与环境无接触

其他诊断因素

  • 发作后局灶性神经系统功能损伤(Todd 麻痹、失语)
  • 持续性、局灶性神经系统功能损伤
  • 记忆力障碍
  • 神经皮肤综合征的皮肤红斑

危险因素

  • 热性惊厥
  • 头部外伤
  • 中枢神经系统感染
  • 卒中
  • 脑肿瘤
  • 精神发育迟滞 (MR) 和/或脑性瘫痪
  • 痴呆
  • 癫痫发作家族史
  • 血管畸形
  • 男性

诊断性检查

首要检查

  • 血糖
  • 全血细胞计数 (FBC)
  • 电解质检查
  • 毒理学筛查
  • 腰椎穿刺术和脑脊液分析
  • 头部 CT
  • 颅脑 MRI 扫描
  • 脑电图 (EEG)
更多 首要检查

需考虑的检查

  • 血清催乳素
  • 远程视频/EEG 监测 (LTM)
  • PET 扫描
  • 单光子发射型计算机断层显像 (single photon emission computed tomography, SPECT)
  • 功能性 MRI 扫描
  • 脑磁图描记术 (magnetoencephalography, MEG)
  • 神经心理测验
  • Wada 试验
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 Jeffrey Cohen, a previous contributor to this monograph. JC declares that he has no competing interests.

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Chief

Epilepsy Division

Brigham and Women's Hospital

Associate Professor of Neurology

Harvard Medical School

Boston

MA

利益声明

At the time of review, EB declared that between 2004 and 2009, he received speaking honoraria from UCB Pharma, Novartis, Abbott Laboratories, GlaxoSmithKline, and Pfizer. He received consulting fees from UCB Pharma, Genzyme, and Spherics, and research funding from UCB Pharma. Unfortunately, we have since been made aware that EB is deceased.

Associate Professor

Pediatrics and Neurology

Baylor College of Medicine

Medical Director

Comprehensive Epilepsy Program

Texas Children's Hospital

Houston

TX

利益声明

AAW declares that he has no competing interests.

Assistant Professor

Division of Pediatric Neurology

Columbia University College of Physicians and Surgeons

New York

NY

利益声明

Not disclosed.

Consultant Neurologist

Muscular and Neurodegenerative Diseases Unit

"G Gaslini" Institute

Genova

Epilepsy Centre

Federico II University

Napoli

Italy

利益声明

PS declares that he has no competing interests.

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