101229洪碧莲常见抗癫痫药物介绍.pdfVIP

Guideline on Antiepileptic Guideline on Antiepileptic Drugs (AEDs) Drugs (AEDs) 雄長庚醫院 雄長庚醫院 小兒神經科 小兒神經科 洪碧蓮醫師 洪碧蓮醫師 P D F c r e a t e d w i t h p d F a c t o r y t r i a l v e r s i o n Definition of Epilepsy Definition of Epilepsy ¡ Diagnosed after a child has had two or ¡ Diagnosed after a child has had two or more unprovoked seizures. more unprovoked seizures. ¡ Unprovoked implies there has been no ¡ Unprovoked implies there has been no concurrent illness or acute brain injury. concurrent illness or acute brain injury. P D F c r e a t e d w i t h p d F a c t o r y t r i a l v e r s i o n History taking History taking ¡ A. describe the seizure pattern/event ¡ A. describe the seizure pattern/event ¡ B. note the time of day the seizure ¡ B. note the time of day the seizure occurred occurred ex: rolandic epilepsy at night and j uvenile ex: rolandic epilepsy at night and j uvenile myoclonic epilepsy in the early morning myoclonic epilepsy in the early morning ¡ C. any behavior before the seizure ¡ C. any behavior before the seizure ( partial seizure or aura) ( partial seizure or aura) ¡ D. ask about precipitating factors ¡ D. ask about precipitating factors ¡ E. ask about preexisting developmental ¡ E. ask about preexisting d