Neuroimaging of status epilepticus

Neuroimaging of status epilepticus
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DOI:
10.1111/epi.14499
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发表时间:
2018-10-01
期刊:
影响因子:
5.6
通讯作者:
Giovannini, Giada
Giovannini, Giada
中科院分区:
医学1区
文献类型:
--
作者:
Meletti, Stefano;Monti, Giulia;Giovannini, Giada

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在过去的20年里,我们观察到广泛使用不同的神经影像学技术来评估癫痫持续状态患者。特别是磁共振成像(MRI)可以显示出广泛的异常,这些异常是持续癫痫活动的原因或后果。神经影像学技术可以提供一个贡献,无论是在临床管理的个别患者,确定血流动力学模式,支持诊断,也在识别发作期可逆或不可逆的改变。对于未来,有必要开发更大的和前瞻性的研究,其中成像技术和脑电图(EEG)记录被密切采集,以了解哪些EEG模式与神经元损伤的成像生物标志物相关。
In the past 2 decades we have observed an extensive use of different neuroimaging techniques to evaluate patients with status epilepticus. Magnetic resonance imaging (MRI) in particular may show a broad spectrum of abnormalities that are either the causes or the consequences of sustained epileptic activity. Neuroimaging techniques can offer a contribution both in the clinical management of individual patients, identifying hemodynamic patterns that support the diagnosis, and also in the recognition of periictal reversible or irreversible alterations. For the future it is necessary to develop larger and prospective studies in which imaging techniques and electroencephalography (EEG) recordings are acquired closely to understand which EEG patterns are related to imaging biomarkers of neuronal damage.