Эпидемиология, клиника и диагностика эпилептического статуса у взрослых
Эпидемиология, клиника и диагностика эпилептического статуса у взрослых
Гайнетдинова Г.Р., Данилова Т.В. Эпидемиология, клиника и диагностика эпилептического статуса у взрослых. Consilium Medicum. 2022;24(11):805–810. DOI: 10.26442/20751753.2022.11.201958
Gainetdinova GR, Danilova TV. Epidemiology, clinic and diagnosis of status epilepticus in adults: A review. Consilium Medicum. 2022;24(11):805–810. DOI: 10.26442/20751753.2022.11.201958
Эпидемиология, клиника и диагностика эпилептического статуса у взрослых
Гайнетдинова Г.Р., Данилова Т.В. Эпидемиология, клиника и диагностика эпилептического статуса у взрослых. Consilium Medicum. 2022;24(11):805–810. DOI: 10.26442/20751753.2022.11.201958
Gainetdinova GR, Danilova TV. Epidemiology, clinic and diagnosis of status epilepticus in adults: A review. Consilium Medicum. 2022;24(11):805–810. DOI: 10.26442/20751753.2022.11.201958
Одной из причин нарушения сознания является эпилептический статус, который может развиться как у пациентов, страдающих эпилепсией, так и у пациентов без эпилептического анамнеза. Наиболее сложной диагностической задачей является выявление бессудорожного эпилептического статуса. Проанализированы наиболее часто обсуждаемые в литературе вопросы клинической картины, диагностики разных вариантов эпилептического статуса. Особое внимание уделено особенностям эпилептического статуса у пациентов старших возрастных групп.
Status epilepticus is one of the causes of impaired consciousness. Status epilepticus can develop both in patients with epilepsy and in patients without an epileptic history. The most difficult diagnostic task is to identify non-convulsive status epilepticus. The most frequently discussed in the literature issues of the clinical picture, diagnosis of different variants of status epilepticus were analyzed. Particular attention was paid to the peculiarities of status epilepticus in patients of older age groups.
Keywords: status epilepticus, non-convulsive status epilepticus, epidemiology, diagnosis
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1. Birkun AA. Unconscious patient: emergency diagnosis and treatment. Meditsina neotlozhnykh sostoianii. 2013;8(55):9-15 (in Russian).
2. Leitinger M, Trinka E, Giovannini G, et al. Epidemiology of status epilepticus in adults: A population-based study on incidence, causes, and outcomes. Epilepsia. 2019;60(1):53-62. DOI:10.1111/epi.14607
3. Ruegg S. Non-convulsive status epilepticus in adults: an overview. Schweiz Arch Neurol Psychiatr. 2008;159:53-83. DOI:10.4414/sanp.2008.01928
4. Knake S, Rosenow F, Vescovi M, et al. Incidence of status epilepticus in adults in Germany: a prospective, population-based study. Epilepsia. 2001;42(6):714-8.
DOI:10.1046/j.1528-1157.2001.01101.x
5. Trinka E, Cock H, Hesdorffer D, et al. A definition and classification of status epilepticus – Report of the ILAE Task Force on Classification of Status Epilepticus. Epilepsia. 2015;56(10):1515-23. DOI:10.1111/epi.13121
6. Karlov VA. Epilepsiia u detei i vzroslykh, zhenshchin i muzhchin. Moscow: Meditsina, 2019 (in Russian).
7. Belcastro V, Vidale S, Gorgone G, et al. Non-convulsive status epilepticus after ischemic stroke: a hospital-based stroke cohort study. J Neurol. 2014;261(11):2136-42. DOI:10.1007/s00415-014-7471-z
8. Fernández-Torre JL, Agirre Z, Puchades R, et al. Nonconvulsive status epilepticus causing prolonged stupor after intraventricular hemorrhage: report of a case. Clin EEG Neurosci. 2007;38(1):57-60. DOI:10.1177/155005940703800112
9. Sinkin MV, Kaimovsky IL, Komoltsev IG, et al. Electroencephalography in acute stroke. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. 2020;120(8-2):10-6 (in Russian). DOI:10.17116/jnevro202012008210
10. Alroughani R, Javidan M, Qasem A, Alotaibi N. Non-convulsive status epilepticus; the rate of occurrence in a general hospital. Seizure. 2009;18(1):38-42. DOI:10.1016/j.seizure.2008.06.013
11. Aleksandrov MV, Povalyukhina ES, Alexandrova TV, Ulitin AYu. Non-convulsive status epilepticus diagnostics in severe brain injury: dynamics of clinical-electroencephalographic criteria. Medical Alphabet. 2019;4(36):8-14 (in Russian). DOI:10.33667/2078-5631-2019-4-36(411)-8-14
12. Blitshteyn S, Jaeckle KA. Nonconvulsive status epilepticus in metastatic CNS disease. Neurology. 2006;66(8):1261-3. DOI:10.1212/01.wnl.0000208432.26473.1f
13. Cury RF, Wichert-Ana L, Sakamoto AC, Fernandes RM. Focal nonconvulsive status epilepticus associated to PLEDs and intense focal hyperemia in an AIDS patient. Seizure. 2004;13(5):358-61. DOI:10.1016/j.seizure.2003.07.001
14. Gunduz A, Beskardes AF, Kutlu A, et al. Herpes encephalitis as a cause of nonconvulsive status epilepticus. Epileptic Disord. 2006;8(1):57-60.
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Авторы
Г.Р. Гайнетдинова1, Т.В. Данилова*1,2
1 ФГБОУ ВО «Казанский государственный медицинский университет» Минздрава России, Казань, Россия;
2 ГАУЗ «Межрегиональный клинико-диагностический центр», Казань, Россия
*tatvdan@yandex.ru
________________________________________________
Guzel R. Gainetdinova1, Tatiana V. Danilova*1,2
1 Kazan State Medical University, Kazan, Russia;
2 Interregional Clinical and Diagnostical Center, Kazan, Russia
*tatvdan@yandex.ru