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癲癇發作epileptic seizureepileptic fit,有時在文獻或新聞只簡單稱為 seizurefit) 是因為中的過度的神经振荡而出現的醫學病徵[1]。 這種腦內異常的外溢效應(outward effect)可以是無法自行控制的混亂運動;也可以是短暫的失去意識。 只要是有任何能引起癲癇發作(epileptic seizures)的腦部疾病,統稱為癲癇(epilepsy)。[1][2] 癲癇發作可能發生在沒有癲癇歷史的人身上。這類型的危險因子包括:腦部受創(brain trauma)、濫用藥物[3]、過高體溫、低血糖缺氧。另外有一些看起來像癲癇發作的症狀,但實際上並非真的癲癇發作。 首次出現的癲癇發作通常不需要長時間服食抗癲癇藥英语anti-seizure medication,除非出現特定問題或要照腦電圖腦部造影(brain imaging)[4]。 所有活到80歲的人之中大約5~10%,在其人生中至少遇過一次癲癇發作,遇到第二次癲癇發作的機率介於40~50%之間。 [4][5]

癲癇發作
Epileptic seizure
同義詞 Epileptic fit, seizure, fit
Spike-waves.png
Generalized 3 Hz spike and wave discharges in EEG
醫學專科 神經內科

徵狀和症狀编辑

     參見:癲癇類型英语seizure types

癲癇發作的徵狀和症狀依照其類型而定[6]。 最常見的癲癇發作是驚厥 (60%)[7]

備註编辑

參考資料编辑

  1. ^ 1.0 1.1 Fisher R, van Emde Boas W, Blume W, Elger C, Genton P, Lee P, Engel J. Epileptic seizures and epilepsy: definitions proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE). Epilepsia. 2005, 46 (4): 470–2. PMID 15816939. doi:10.1111/j.0013-9580.2005.66104.x (英语). 
  2. ^ Fisher RS, Acevedo C, Arzimanoglou A, Bogacz A, Cross JH, Elger CE, Engel J, Forsgren L, French JA, Glynn M, Hesdorffer DC, Lee BI, Mathern GW, Moshé SL, Perucca E, Scheffer IE, Tomson T, Watanabe M, Wiebe S. ILAE Official Report: A practical clinical definition of epilepsy.. Epilepsia. Apr 2014, 55 (4): 475–82. PMID 24730690. doi:10.1111/epi.12550. 
  3. ^ Revesz, Rachael. Pet dog 'ate crack' then killed owner in front of BBC crew filming drug documentary: Major was found to be eight times over the drug drive limit. 獨立報. 2017-09-12 [2017-11-19] (英语). 
  4. ^ 4.0 4.1 Wilden, JA; Cohen-Gadol, AA. Evaluation of first nonfebrile seizures.. American family physician. Aug 15, 2012, 86 (4): 334–40. PMID 22963022. 
  5. ^ Berg, AT. Risk of recurrence after a first unprovoked seizure. Epilepsia. 2008,. 49 Suppl 1: 13–8. PMID 18184149. doi:10.1111/j.1528-1167.2008.01444.x. 
  6. ^ Shearer, Peter. Seizures and Status Epilepticus: Diagnosis and Management in the Emergency Department. Emergency Medicine Practice. 
  7. ^ National Institute for Health and Clinical Excellence. Chapter 1: Introduction. The Epilepsies: The diagnosis and management of the epilepsies in adults and children in primary and secondary care (PDF). National Clinical Guideline Centre. January 2012: 21–28. 

外部連結编辑