Эпилептические приступы и эпилепсия у больных с инсультом
Эпилептические приступы и эпилепсия у больных с инсультом
Максимова М.Ю., Шалиманова Е.В., Брутян А.Г. Эпилептические приступы и эпилепсия у больных с инсультом. Consilium Medicum. 2020; 22 (9): 38–45. DOI: 10.26442/20751753.2020.9.200273
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Maksimova M.Yu., Shalimanova E.V., Brutyan A.G. Post-stroke seizures and epilepsy after stroke. Consilium Medicum. 2020; 22 (9): 38–45. DOI: 10.26442/20751753.2020.9.200273
Эпилептические приступы и эпилепсия у больных с инсультом
Максимова М.Ю., Шалиманова Е.В., Брутян А.Г. Эпилептические приступы и эпилепсия у больных с инсультом. Consilium Medicum. 2020; 22 (9): 38–45. DOI: 10.26442/20751753.2020.9.200273
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Maksimova M.Yu., Shalimanova E.V., Brutyan A.G. Post-stroke seizures and epilepsy after stroke. Consilium Medicum. 2020; 22 (9): 38–45. DOI: 10.26442/20751753.2020.9.200273
Возникновение эпилептических приступов и эпилепсии после инсульта является примером их тесной связи с цереброваскулярной патологией.
По данным разных исследователей, эпилептические приступы у пациентов, перенесших инсульт, встречаются с частотой от 3–6 до 12%. Постинсультные приступы могут возникать в остром периоде инсульта или в более поздние сроки. Эпилепсия у больных с инсультом значительно ухудшает качество их жизни, замедляет бытовую, социальную и профессиональную адаптацию. В статье рассматриваются терминологические, эпидемиологические, патофизиологические аспекты, факторы риска и предикторы эпилептических приступов и эпилепсии у больных с инсультом.
Ключевые слова: инсульт, эпилептические приступы и постинсультная эпилепсия.
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The occurrence of epileptic seizures and epilepsy after stroke is an example of their close relationship with cerebrovascular pathology. According to various researchers, incidence of epileptic seizures in all stroke patients lies between 3–6 and 12%. Post-stroke seizures can occur in the acute period of a stroke or later. Post-stroke epilepsy is associated with significant decrease of the quality of life, and slowing of the household, social and professional adaptation. Terminological, epidemiological, pathophysiological aspects, risk factors and predictors of post-stroke epileptic seizures and epilepsy are discussed in this article.
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