最近审阅: 4 十一月 2020
最近更新: 13 九月 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
  • 凝视发作或注意力不集中
  • 强直阵挛发作
  • 短暂、无节律的肌肉抽搐运动
  • 眼球向头后部翻转
  • 伴发的疾病
  • 不明原因的跌倒

其他诊断因素

  • 失禁
  • 咬舌
  • 发作后表现
  • 可被疲乏或缺乏睡眠诱发
  • 可被光或噪音诱发
  • 发育迟缓
  • 神经皮肤红斑

危险因素

  • 遗传易感性或家族史
  • 围产期窒息
  • 代谢性/神经退行性疾病
  • 头部外伤
  • 中枢神经系统 (CNS) 的结构异常
  • 自闭症谱系障碍
  • 中枢神经系统 (CNS) 感染
  • 神经皮肤综合征
  • 高热惊厥病史

诊断性检查

首要检查

  • 脑电图 (EEG)
  • 血糖水平
  • 基本代谢指标
  • 全血细胞计数 (FBC)
  • 心电图 (ECG)
更多 首要检查

需考虑的检查

  • 颅脑磁共振成像 (MRI)
  • 颅脑计算机体层成像 (CT)
更多 需考虑的检查

治疗流程

撰稿人

Consultant Paediatric Neurologist

St. Mary's Hospital

Imperial College Healthcare NHS Trust

London

UK

利益声明

LM has attended educational events hosted by Eisai (Perampanel/fycompa) and by Novartis (Everolimus for Tuberous Sclerosis patients).

Pediatric Neurologist

Pediatric Hospital No 1

Kiev

Ukraine

利益声明

AN declares that she has no competing interests.

Dr Leena Mewasingh and Dr Alla Nechay would like to gratefully acknowledge Dr Ewa Posner, a previous contributor to this monograph. EP declares that she has no competing interests.

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Assistant Professor of Neurology and Pediatrics

Johns Hopkins Hospital

Baltimore

MD

利益声明

AH has received research support from the National Institutes of Health that is greater than 6 figures. ALH's research is funded in part by the National Institutes of Health. He is the co-author of one review that is referenced in this monograph.

Pediatric Neurologist

Kinderneurologisches Zentrum Mainz

Mainz

Germany

利益声明

RW declares that he has no competing interests.

Consultant

Paediatric Neurology Emeritus

Fraser of Allander Neurosciences Unit

Royal Hospital for Sick Children

Honorary Professor in Paediatric Neurology and Senior Research Fellow

Department of Child Health

Division of Developmental Medicine

University of Glasgow

Glasgow

UK

利益声明

JS declares that he has no competing interests.

Honorary Clinical Lecturer

Paediatric Neurology

Newcastle General Hospital

Newcastle-upon-Tyne

UK

利益声明

AB has previously worked as part of a clinical team with EP. AB declares that she has no competing interests.

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