Posttravmaticheskaya epilepsiya u detey i podrostkov


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Post-traumatic epilepsy (PTE) includes approximately 20 % of cases of symptomatic epilepsy and 5 % of all cases of epilepsy among children. In the majority (80 %) of patients, PTE manifests as a first unprovoked seizure during the first year after traumatic brain injury, and almost all - during two years after the injury. This article discusses risk factors for PTE, mechanisms of posttraumatic epileptogenesis, clinical manifestation and course of PTE in children and adolescents. The use of prolonged video-EEG-monitoring allowed the identification of subclinical forms of post-traumatic seizures and epileptic status. Tactics of antiepileptic therapy in PTE, and potentials for the prevention of posttraumatic seizures and PTE in children and adolescents are discussed.

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参考

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