关键词: EEG Gelastic seizures Hypothalamic hamartoma Status gelasticus Surgery

Mesh : Humans Epilepsies, Partial / diagnosis Hypothalamic Diseases / complications Brain Diseases / complications Brain Status Epilepticus / complications Hamartoma / complications Magnetic Resonance Imaging

来  源:   DOI:10.1016/j.yebeh.2024.109719

Abstract:
Status gelasticus is a rare form of status epilepticus characterized by prolonged and/or clustered gelastic seizures. The review encompasses an analysis of cases reported in the literature, focusing on causes, clinical-electroencephalographic features, and therapeutic interventions. The study reveals the challenges in defining and understanding status gelasticus due to its diverse etiologies and limited reported cases. The association with hypothalamic hamartomas and other brain abnormalities underscores the importance of thorough evaluations. The review also discusses new treatments, including medications and less invasive surgeries. While progress has been made, the study points out challenges in diagnosing and managing this complex condition, highlighting the importance of ongoing research.
摘要:
癫痫持续状态是一种罕见的癫痫持续状态,其特征是长时间和/或聚集性癫痫发作。这篇综述包括对文献中报道的病例的分析,着眼于原因,临床脑电图特征,和治疗干预措施。该研究揭示了由于其病因多样和报告病例有限,在定义和理解状态上面临的挑战。与下丘脑错构瘤和其他大脑异常的关联强调了彻底评估的重要性。这篇综述还讨论了新的治疗方法,包括药物和侵入性较小的手术。虽然取得了进展,该研究指出了诊断和管理这种复杂疾病的挑战,强调正在进行的研究的重要性。
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