BMJ Best Practice
最后审核时间： 十月 2018
最近更新时间： 八月 2018

小结

定义

病史和查体

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、咂嘴唇）
全部具体信息

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
全部具体信息

危险因素

  • 热性惊厥
  • 头部外伤
  • 中枢神经系统感染
  • 卒中
全部具体信息

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
全部具体信息

需要考虑的检查

  • 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)
全部具体信息

治疗流程

急性

短时间内多次局灶性癫痫发作

疾病持续状态

<60 岁的成人：非妊娠

≥60 岁的成人

妊娠

儿童

贡献者

作者 查看所有

Assistant Professor

Clinical Neurology

University of California, San Francisco

San Francisco

CA

利益冲突披露
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

利益冲突披露
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.

同行评议专家 查看所有

Chief

Epilepsy Division

Brigham and Women's Hospital

Associate Professor of Neurology

Harvard Medical School

Boston

MA

利益冲突披露
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

利益冲突披露
AAW declares that he has no competing interests.

Assistant Professor

Division of Pediatric Neurology

Columbia University College of Physicians and Surgeons

New York

NY

利益冲突披露
Not disclosed.

Consultant Neurologist

Muscular and Neurodegenerative Diseases Unit

"G Gaslini" Institute

Genova

Epilepsy Centre

Federico II University

Napoli

Italy

利益冲突披露
PS declares that he has no competing interests.

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