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| 題 名 | Abortive Generalized Spike and Waves in Children--A Review=兒童短時程泛發性棘慢波 |
|---|---|
| 作 者 | 劉文玉; | 書刊名 | 中華民國小兒科醫學會雜誌 |
| 卷 期 | 31:3 民79.05-06 |
| 頁 次 | 頁129-143 |
| 分類號 | 417.5845 |
| 關鍵詞 | 兒童短時程泛發性棘慢波; |
| 語 文 | 英文(English) |
| 中文摘要 | 發作間及發作中的腦波在癲癎的診斷上相當重要,長時程(>3秒)的泛發性棘慢波在腦波的判讀上,尤其其臨床之相關已有較完整的研究。但短時程(<3秒)棘慢波臨床意義則較無定論。從正常人到一些癲癎病人腦波均可出現這種波形。本文歸納整理泛發性棘慢波在臨床分類以及遣傳方面的文獻,進而推論短時程棘慢波之臨床相關及出現情況如下: 1.爲泛發性…強直…陣攣發作之發作間波。 2.發生於部份單純性或複雜性局部發作。 3.在有效的抗癲癎治療下的泛發性癲癎人。 4.長時程泛發性棘慢波的自然演變。 5.抗癲癎藥物之戒斷情形下。 6.藥物引發。 7.存在於泛發性癲癎病人家族成員之遺傳相關性。 8.存在於少部份正常人。 |
| 英文摘要 | Full-blown generalized spike and wave patterns in electroencephalogram lasting more than 3 seconds are diagnostically significant, suggesting one of the generalized epileptic syndromes. However, brief (<3 seconds) bursts of generalized spike waves activity are often difficult to evaluate the clinical correlations when such bursts are the only remarkable finding in a record which is otherwise within broad limits of normality. After reviewing the literature about the classification and genetic aspects of generalized spike and waves, we concluded that one or more of the following conditions will be the most possible to correlate with abortive generalized spike and waves: 1. as a interictal pattern of generalized tonic-clonic seizures. 2. simple or complex partial seizures. 3. generalized epilepsy under effective anticonvulsant treatment. 4. withdrawal from anticonvulsant therapy. 5. natural evolution of generalized spike waves. 6. drug induced. 7. a genetic trait of relatives of generalized epilepsy. 8. normal pattern. |
本系統中英文摘要資訊取自各篇刊載內容。