中国实用儿科杂志

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儿童癫痫中心——多学科协作的综合诊疗模式

  

  1. 北京大学第一医院儿科,北京  100034
  • 出版日期:2016-01-06 发布日期:2016-01-08

Children epilepsy center: A comprehensive multidisciplinary mode of diagnosis and treatment

  1. Department of Pediatrics, Peking University First Hospital,Beijing  100034,China
  • Online:2016-01-06 Published:2016-01-08

摘要:

 儿童癫痫病因多样,临床表现复杂。对于药物难治性癫痫,可以根据情况采取类固醇激素、 生酮饮食、 外科手术或神经调控等综合治疗手段。当前很多涉及多学科的新技术已经或正在应用于癫痫的诊疗, 特别是术前评估领域, 包括基因、 结构和功能神经影像学、 神经电生理及神经心理评估等。儿童癫痫中心以儿童神经内、 外科和神经电生理为核心, 并与神经影像学、 神经心理发育等相关专业合作, 开展多学科、 多模式的诊断治疗, 是对儿童癫痫进行综合诊治和管理的有效形式。但目前很多新技术在儿童癫痫领域的应用还缺乏经验或共识, 需要探索适合于儿童癫痫中心的临床实践和管理模式。

关键词: 癫痫, 儿童, 多学科, 多模式

Abstract:

There are various pathogenesis and complex clinical manifestation in childhood epilepsies. The steroid hormone,ketogenic diet,surgery or nerve regulation could be  treatment choices if antiepileptic drug therapy fails,depending on individual conditions. At present many new technologies involving different field have be applied to diagnosis and therapy,especially the preoperative evaluation,including genes,structure and functional neruoimaging,neuroelectrophysiology,neuropsychological assessment and so on. Taking neurology,neurosurgery and neuroelectrophysiology as the core,and  through cooperation with neruoimaging, neurodevelopment,neuropsychology and other related departments,the children epilepsy center carries out diagnosis,treatment and management on patients with epilepsy in multidisciplinary and multimodel pattern. There are not enough experience and consensus about the use of some new technologies in childhood epilepsies now,so it needs to explore the clinical methods and management modes suitable for children epilepsy center.

Key words: epilepsy, child, multidisciplinary, multimodel