A semiological classification of status epilepticus.
A semiological classification of status epilepticus.
复制标题
癫痫持续状态的症状学分类。
DOI：
10.1684/j.1950-6945.2005.tb00093.x
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
Hans O. Lüders
中科院分区：
文献类型：
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作者：
S. Rona;Felix Rosenow;S. Arnold;M. Carreño;Beate Diehl;A. Ebner;Brita Fritsch;Hajo M Hamer;H. Holthausen;S. Knake;Bernd Kruse;S. Noachtar;T. Pieper;I. Tuxhorn;Hans O. Lüders
癫痫持续状态（SE）的分类多年来一直是讨论的主题，但尚未达成令人满意的一致意见。由于其复杂性，地位事件往往无法根据目前的国际分类方案进行分类。症状学癫痫发作分类（SSC）已在几个癫痫中心使用了十多年，并已被证明是一种有效的方法来分类癫痫发作。基于对100多例视频脑电图记录的SE发作的详细分析，作者提出了一种癫痫持续状态（SCSE）的符号学分类建议。SCSE反映了SE的所有现代定义所隐含的假设，即“癫痫发作的类型与状态的类型一样多”，并依赖于与SSC相同的原则，侧重于主要临床表现和状态发作的演变。SE的临床表现被细分为症状学成分，并沿沿着三个轴分类：主要受癫痫发作活动损害的脑功能类型、涉及的身体部位和随时间的演变。每个轴包含几个子类别，因此可能有许多不同的准确度。与SSC一样，SCSE旨在成为综合癫痫分类的一部分，该分类将患者癫痫的主要特征分类为独立变量（致痫区，发作症状学，病因学，相关医疗条件），允许每个变量具有最大的灵活性。
The classification of status epilepticus (SE) has been a subject of discussion for many years, yet no satisfactory agreement has been reached. Due to their complexity, status episodes often defy classification according to the current international classification scheme. The semiological seizure classification (SSC) has been in use in several epilepsy centers for more than a decade, and has proven to be a valid approach to the classification of epileptic seizures. Based on the detailed analysis of more than 100 episodes of SE documented with video-EEG recordings, the authors now present a proposal for a semiological classification of status epilepticus (SCSE). The SCSE reflects the assumption implied by all modern definitions of SE that "there are as many types of status as there are types of seizures" and relies on the same principles as the SSC, focusing on the main clinical manifestations and the evolution of the status episode. The clinical manifestations of SE are subdivided into semiological components and classified along three axes: the type of brain function predominantly compromised by the seizure activity, the body part involved, and the evolution over time. Each axis contains several subcategories, so that many different levels of accuracy are possible. The SCSE, just like the SSC, is meant to be part of a comprehensive epilepsy classification which classifies as independent variables (epileptogenic zone, ictal semiology, etiology, related medical conditions) the main features of the patient's epilepsy, allowing for each variable maximum flexibility.