癫痫的定义专题知识讲座.pptxVIP

癫痫的定义专题知识讲座癫痫的定义专题知识讲座第1页

癲癇定義1925,英人JHughlingJackson:腦部神經細胞不正常放電癲癇是由許多先天或後天原因所引发慢性腦病，其特徵是由於腦細胞過度放電(excessivedischarge)所引发反覆性發作(epilepticseizure)，伴隨多種類型臨床表現Seizure(癲癇發作):腦部異常放電症狀每個人都有可能(alcohol,drug,infection,excitingetc...)Epilepsy(癲癇症):反覆發作疾病狀態癫痫的定义专题知识讲座第2页

癲癇定義Aura:前兆，希臘語“颱風前之微風”，發作前之警告，seizure一个别，本身就是simplepartialseizure。Automatism:自動症，automaticbehaviorduringseizurewithalteredconsciousness.Fit:發作。Ictus:發作。Ictal:relatedtoseizureitself.Postictal:immediatelyafterseizure.Interictal:betweenattacksofseizure,oftensymptomfree.癫痫的定义专题知识讲座第3页

癲癇流行病學盛行率0.3-0.7%(平均每兩百人中一個)發生率30-70/100000(每年新增病例)每九到十人中，有一人其一生中發生過一次或屡次癲癇發作(epilepticseizure)癫痫的定义专题知识讲座第4页

癲癇發作(seizure)分類

InternationalClassificationofEpilepticSeizurePartial(localonset)局部發作Simplepartialseizure單純局部發作Complexpartialseizure複雜局部發作Partialseizurewithsecondarygeneralization局部發作演變成次發性全身發作Generalized(bilaterallysymmetricwithoutlocalonset)全身發作GTCS,Absence….etc癫痫的定义专题知识讲座第5页

癲癇(epilepsy)分類

InternationalClassificationofEpilepsies

andEpilepticSyndromeIdiopathicepilepsysyndromes(focalorgeneralized)BenignneonatalconvulsionsBenignchildhoodepilepsyChildhood/juvenileabsenceepilepsyJuvenilemyoclonicepilepsyunspecifiedSymptomaticepilepsysyndromes(focalorgeneralized)Westsyndrome(infantilespasms)Lennox-GastautsyndromeEpilepsiapartialiscontinuaOtherepilepsysyndromesofuncertainormixedclassification癫痫的定义专题知识讲座第6页

SimplePartialSeizure單純局部發作Consciousnessnotimpaired意識清楚WithMotorsymptoms:simpleclonicconvulsion,Jacksnoianmarching,adversion…Somatosensoryorspecialsensorysymptoms:paresthesia,auditoryorvisualhallucination…Autonomicsymptoms:abdominalcramp,vomiting,vertigo…Psychicsymptoms:déjàvu,jamaivu,fear,anxiety…癫痫的定义专题知识讲座第7页

SimplevisualSomaticsensoryJacksonianSMASimpleadversiveComplexadversiveVestibularAutonomicGustatoryVisceralAuditory癫痫的定义专题知识讲座第8页

Jacksonianseizure癫痫的定义专题知识讲座第9页

Adversive