Seizures and Epilepsy

被引:57
作者
Johnson, Emily L. [1 ]
机构
[1] Johns Hopkins Sch Med, Dept Neurol, 600 North Wolfe St, Baltimore, MD 21287 USA
关键词
Epilepsy; Seizure; Antiepileptic drugs; Epilepsy surgery; Women with epilepsy; Epilepsy treatment; First seizure; STEREOTACTIC LASER AMYGDALOHIPPOCAMPOTOMY; QUALITY STANDARDS SUBCOMMITTEE; KETOGENIC DIET TREATMENT; VAGUS NERVE-STIMULATION; ANTIEPILEPTIC DRUGS; 1ST SEIZURE; REFRACTORY EPILEPSY; TEMPORAL LOBECTOMY; AMERICAN-ACADEMY; ILAE COMMISSION;
D O I
10.1016/j.mcna.2018.10.002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Epilepsy affects 65 million people worldwide, and is a leading neurologic cause of loss of quality-adjusted life years. The diagnosis of seizures and epilepsy often depends on a careful history, and is supported with electroencephalogram and imaging. First-line treatment of epilepsy includes medical management. Antiepileptic drugs must be chosen with the patient's particular comorbidities in mind. Drug-resistant epilepsy cases should be referred to an epilepsy specialist and may be evaluated for additional medications, epilepsy surgery, neurostimulation, or dietary therapy. When caring for women, providers must take into account needs for contraception or pregnancy safety where applicable.
引用
收藏
页码:309 / +
页数:17
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