关于《长时程癫痫发作和丛集性癫痫发作的院外处理专家共识》一文的解读_Journal of Epilepsy

Authors：

张伟新 ¹ , 汶欣钰 ² ,  刘永红 ²

1. ;
2. ;

Corresponding author：

刘永红, Email: liuyh@fmmu.edu.cn

Keywords：

癫痫; 癫痫发作持续时间; 术语; 长时程癫痫发作; 丛集性癫痫发作

DOI：

10.7507/2096-0247.202408004

Video：

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本文对最近发表于Epileptic Disord的“Outpatient management of prolonged seizures and seizure clusters to prevent progression to a higher-level emergency: Consensus recommendations of an expert working group”一文进行解读。由于缺乏国际循证指南，长时程癫痫发作和丛集性癫痫发作的管理尚无统一意见。该共识对长时程癫痫发作和丛集性癫痫发作的术语给与定义并制定了其治疗目标，以防止进展为更高级别的紧急情况，如癫痫持续状态等。

1.	Chen Z, Brodie MJ, Liew D, et al. Treatment outcomes in patients with newly diagnosed epilepsy treated with established and new antiepileptic drugs: a 30-year longitudinal cohort study. JAMA Neurol, 2018, 75(3): 279-286.
2.	Laxer KD, Trinka E, Hirsch LJ, et al. The consequences of refractory epilepsy and its treatment. Epilepsy Behav, 2014, 37: 59-70.
3.	Asnis-Alibozek A, Detyniecki K. The unmet need for rapid epileptic seizure termination (REST). Epilepsy Behav Rep, 2020, 25(15): 100409.
4.	Trinka E, Cock H, Hesdorffer D, et al. A definition and classification of status epilepticus--Report of the ILAE Task Forc. Evidence-based guideline: treatment of convulsive status epilepticus in children and adults: report of the Guideline Committee of the American Epilepe on Classification of Status Epilepticus. Epilepsia, 2015, 56(10): 1515-1523.
5.	Glauser T, Shinnar S, Gloss D, et al, Dodson insy Society. Epilepsy Curr, 2016, 16(1): 48-61.
6.	National Institute for Health and Care Excellence: Guidelines. Epilepsies children, young people and adults. London: National Institute for Health and Care Excellence (NICE), 2022, 27.
7.	Chung S, Szaflarski JP, Choi EJ, et al. A systematic review of seizure clusters: Prevalence, risk factors, burden of disease and treatment patterns. Epilepsy Res, 2021, 177: 106748.
8.	Detyniecki K, O'Bryan J, Choezom T, et al. Prevalence and predictors of seizure clusters: A prospective observational study of adult patients with epilepsy. Epilepsy Behav, 2018, 88: 349-356.
9.	Jafarpour S, Hirsch LJ, Gaínza-Lein M, et al. Seizure cluster: definition, prevalence, consequences, and management. Seizure, 2019, 68: 9-15.
10.	Herman ST, Detyniecki K, O'Hara K, et al. Written seizure action plans for adult patients with epilepsy: Distilling insights from emergency action plans for other chronic conditions. Epilepsy Behav, 2023, 140: 109002.
11.	Kienitz R, Kay L, Beuchat I, et al. Benzodiazepines in the management of seizures and status epilepticus: a review of routes of delivery, pharmacokinetics, efficacy, and tolerability. CNS Drugs, 2022, 36(9): 951-975.
12.	Blond BN, Hirsch LJ. Updated review of rescue treatments for seizure clusters and prolonged seizures. Expert Rev Neurother, 2022, 22(7): 567-577.
13.	Samanta D. Rescue therapies for seizure emergencies: current and future landscape. Neurol Sci, 2021, 42(10): 4017-4027.
14.	Dingledine R, Varvel NH, Dudek FE. When and how do seizures kill neurons, and is cell death relevant to epileptogenesis? Adv Exp Med Biol, 2014, 813: 109-22.
15.	Barcia Aguilar C, Amengual-Gual M, Sánchez Fernández I, et al. Time to treatment in pediatric convulsive refractory status epilepticus: the weekend effect. Pediatr Neurol, 2021, 120: 71-79.
16.	Dobesberger J, Ristić AJ, Walser G, et al. Duration of focal complex, secondarily generalized tonic-clonic, and primarily generalized tonic-clonic seizures--a video-EEG analysis. Epilepsy Behav, 2015, 49: 111-117.
17.	Theodore WH, Porter RJ, Albert P, et al. The secondarily generalized tonic-clonic seizure: a videotape analysis. Neurology, 1994, 44(8): 1403-1407.
18.	Meritam Larsen P, Wüstenhagen S, Terney D, et al. Duration of epileptic seizure types: a data-driven approach. Epilepsia, 2023, 64(2): 469-478.
19.	Jenssen S, Gracely EJ, Sperling MR. How long do most seizures last: a systematic comparison of seizures recorded in the epilepsy monitoring unit. Epilepsia, 2006, 47(9): 1499-1503.
20.	中国抗癫痫协会共患病专业委员会. 癫痫伴抑郁诊断治疗的中国专家共识(2022修订版). 癫痫杂志, 2022, 8(6): 488-493.
21.	ILAE. Post-ictal psychosis: identification, treatment and prevention. Epigraph, 2020, 22(2): 5S288-300.

1. Chen Z, Brodie MJ, Liew D, et al. Treatment outcomes in patients with newly diagnosed epilepsy treated with established and new antiepileptic drugs: a 30-year longitudinal cohort study. JAMA Neurol, 2018, 75(3): 279-286.
2. Laxer KD, Trinka E, Hirsch LJ, et al. The consequences of refractory epilepsy and its treatment. Epilepsy Behav, 2014, 37: 59-70.
3. Asnis-Alibozek A, Detyniecki K. The unmet need for rapid epileptic seizure termination (REST). Epilepsy Behav Rep, 2020, 25(15): 100409.
4. Trinka E, Cock H, Hesdorffer D, et al. A definition and classification of status epilepticus--Report of the ILAE Task Forc. Evidence-based guideline: treatment of convulsive status epilepticus in children and adults: report of the Guideline Committee of the American Epilepe on Classification of Status Epilepticus. Epilepsia, 2015, 56(10): 1515-1523.
5. Glauser T, Shinnar S, Gloss D, et al, Dodson insy Society. Epilepsy Curr, 2016, 16(1): 48-61.
6. National Institute for Health and Care Excellence: Guidelines. Epilepsies children, young people and adults. London: National Institute for Health and Care Excellence (NICE), 2022, 27.
7. Chung S, Szaflarski JP, Choi EJ, et al. A systematic review of seizure clusters: Prevalence, risk factors, burden of disease and treatment patterns. Epilepsy Res, 2021, 177: 106748.
8. Detyniecki K, O'Bryan J, Choezom T, et al. Prevalence and predictors of seizure clusters: A prospective observational study of adult patients with epilepsy. Epilepsy Behav, 2018, 88: 349-356.
9. Jafarpour S, Hirsch LJ, Gaínza-Lein M, et al. Seizure cluster: definition, prevalence, consequences, and management. Seizure, 2019, 68: 9-15.
10. Herman ST, Detyniecki K, O'Hara K, et al. Written seizure action plans for adult patients with epilepsy: Distilling insights from emergency action plans for other chronic conditions. Epilepsy Behav, 2023, 140: 109002.
11. Kienitz R, Kay L, Beuchat I, et al. Benzodiazepines in the management of seizures and status epilepticus: a review of routes of delivery, pharmacokinetics, efficacy, and tolerability. CNS Drugs, 2022, 36(9): 951-975.
12. Blond BN, Hirsch LJ. Updated review of rescue treatments for seizure clusters and prolonged seizures. Expert Rev Neurother, 2022, 22(7): 567-577.
13. Samanta D. Rescue therapies for seizure emergencies: current and future landscape. Neurol Sci, 2021, 42(10): 4017-4027.
14. Dingledine R, Varvel NH, Dudek FE. When and how do seizures kill neurons, and is cell death relevant to epileptogenesis? Adv Exp Med Biol, 2014, 813: 109-22.
15. Barcia Aguilar C, Amengual-Gual M, Sánchez Fernández I, et al. Time to treatment in pediatric convulsive refractory status epilepticus: the weekend effect. Pediatr Neurol, 2021, 120: 71-79.
16. Dobesberger J, Ristić AJ, Walser G, et al. Duration of focal complex, secondarily generalized tonic-clonic, and primarily generalized tonic-clonic seizures--a video-EEG analysis. Epilepsy Behav, 2015, 49: 111-117.
17. Theodore WH, Porter RJ, Albert P, et al. The secondarily generalized tonic-clonic seizure: a videotape analysis. Neurology, 1994, 44(8): 1403-1407.
18. Meritam Larsen P, Wüstenhagen S, Terney D, et al. Duration of epileptic seizure types: a data-driven approach. Epilepsia, 2023, 64(2): 469-478.
19. Jenssen S, Gracely EJ, Sperling MR. How long do most seizures last: a systematic comparison of seizures recorded in the epilepsy monitoring unit. Epilepsia, 2006, 47(9): 1499-1503.
20. 中国抗癫痫协会共患病专业委员会. 癫痫伴抑郁诊断治疗的中国专家共识(2022修订版). 癫痫杂志, 2022, 8(6): 488-493.
21. ILAE. Post-ictal psychosis: identification, treatment and prevention. Epigraph, 2020, 22(2): 5S288-300.

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