癫痫——发作和综合症的诊断与治疗(配光盘)
分類: 图书,医学,临床医学,内科学,
作者: (英)Chrysostomos P.Panayotopoulos. 著
出 版 社: 中国协和医科大学出版社
出版时间: 2008-10-1字数:版次: 1页数: 500印刷时间:开本: 16开印次:纸张:I S B N : 9787811360523包装: 精装编辑推荐
作者简介:
Chrysostomos P. Panayiotopoulos MD, PhD, FRCP is an internationally renowned leader and expert in the field of epilepaies. His main contribution is the establishment of the significance of the syndromic diagnosis of epilepsies at a time that epilepsies were inappropriately unified as a single diagnostic category.
He is a clinical neurologist and neurophysiologist. Hehas worked in Greece, UK, Australia, Saudi Arabia and USA. He has been appointed Clinical Professor of Neurology, University of Riyadh. The last 20 years he served as a Consultand in Clinical Neurophysiology and Epilepsies at St,Thomas' Hospital in London, UK as well as Honorary Consultant in Paediatric Epileptology and Honorary Senior Lecturer at Guys, Kings and St. Thomas'Medical school. He has also been an invited Professor to Harvard University and the University of Western Australia. He has served as one of the 12 members of the Task Force on Classification and Terminlolgy of the International League Against Epilepsy. He is now Consultant emeritus at St. Thomas'hospital, London.
CP Panayiotopoulos has researched prolifieally, investigating the clinical and neruophysiological investigations of muscles, peripheral nerves(he is the first to describe and name F-chronodis persion)and aparticular focus on epilepsies.
CP Panayiotopoulos has been an active contributor to a number of highly established peer-reviewed journals, He has written over140 articles in journals such as the Lancet, Brain, Neurology, Annals of Neurology, Archives of Disease in Childhood, Journal of Neurology, Neurosurgery and Psychiatry to name but a fow. These papers have been widely cited more than 1000 times in leading journals. He has been the invited author of over 50 chapters in neurology books. He has also sat on the editorial board of Epilepsy & Behavior, Medlink Neurology and acted as a reviewer for: Brain, Lancet, Annals of Neurology, Journal of Neurology, Neruosurgery and Psychiatry, Neurology, Epilepsia, Journal of Electroencephalography and Clinical Neurophysiology.
His books on epilepsies are best sellers and have been praised as gems, breath of fresh air and landmarks in the epileptological literature.
His work on establishing the syndromic diagnosis of epilepsies and the appropriate video-EEG methodology for their diagnosis, has been regarded as ground breaking adn he is recognised as one the leading authoritises on epilepsies. “Panayiotopoulos syndrome”and autonomic statrs epilepticus specific are amongst his main contrbutions. His publications on idiopathic generalised epilepsies and absences have shaped the current thought of their diagnosis and management and he also described and coined the name “phantom absences”as a unique type of epileptic seizures. He is also the first to establish objective differential criteria between visual symptoms of occipital epilepsy and migraine.
C P Panayiotopoulos is greek, married to Thalia Valeta, they have two children, Paris and Sophis, and 4 grand children.
内容简介
本书的特色之一在于论述疾病的同时,提供了大量的脑电图资料。电生理异常是癫痫的核心问题,因此,能够记录这种脑电生理异常的脑电图是癫痫最重要的检查手段,而熟悉和掌握脑电图是成为一个优秀癫痫学家的先决条件。自从1935年美国学者Gibbs发现了失神发作的特征性脑电图改变,人们对于癫痫的认识由于脑电图的帮助进入了崭新的时代。通过癫痫性放电的出现方式、出现部位,以及异常放电形态等的细致分析,脑电生理不仅有助于判别是否癫痫,而且提供了分类的信息,并且能够加深我们对于不同临床发作类型和综合征类型的理解。目前,脑电图的理论已经发展的比较成熟,而脑电图的数字化、录像脑电图检测等技术方面的问题已经使临床的应用更为便利。常规的头皮电极能够满足于临床的一般需要,针对需要外科治疗的病例,颅内电极的应用能够更好地发现放电起源,以及记录和研究放电的异常传播。
目录
第一章癫痫发作和癫痫综合征合征的临床诊断
第一节发作性事件的鉴别诊断:癫痫发作和非癫痫发作
第二节癫痫发作及其分类
第三节癫痫综合征及其分类
第二章脑电图在癫痫诊断和治疗中的合理应用
第一节常规头皮发作间歇期和发作期EEG对于癫痫的价值
第二节EEG结果出现错误的原因
第三节诱化程序(activating procedures)
第四节脑电图记录应该针对个体患者的特定情况调整
第五节脑电图技术员的任务
第六节数字脑电图
第七节录像脑电图的常规应用
第八节脑电图报告应提供临床信息
第九节首次无热惊厥后脑电图检查的意义
第三章神经影像学在癫痫诊断和治疗的应用
第一节对癫痫患者的神经影像学推荐
第二节临床采用的功能神经影像学检查
第三节脑磁图
第四章癫痫的治疗原则
第一节抗癫痫药物治疗原则
第二节癫痫的外科治疗
第三节刺激治疗
第五章新生儿发作和新生儿期癫痫综合证
第一节新生儿发作(neonatal seizures)
第二节新生儿综合证
第三节新生儿期和婴儿期类似于癫痫发作的非癫痫性运动障碍
第六章婴儿期的特发性癫痫发作和综合征
第一节特发性癫痫发作
第二节特发性癫痫综合征
第七章婴儿期和儿童早期的癫痫性脑病
第一节West综合征
第二节Dravet综合征(婴儿期严重肌阵挛癫痫)
第三节Lennox-Gastaut综合证
第四节Landau-Kleffner综合征(获得性癫痫性失语)
第五节温波睡眠中持续性棘慢复合波的癫痫
第六节非进行性脑病中的肌阵挛状态
第七节儿童不典型良性部分性癫痫
第八节下丘脑(痴笑性)癫痫
第八章婴儿和儿童期严重新皮质癫痫综合证(良性儿童发作易感综合征)
第一节良性儿童癫痫伴中央颞区棘波
第二节Panayiopoulos综合征
第三节Gastaut型特发性儿童枕叶癫痫
第四节良性儿童发作易感综合征的其他表型
第五节良性儿童局灶发作的治疗
……
第十章特发性合面性癫痫
第十一章家族性(常染色体显性)局灶性癫痫
第十二章征状性和很可能为征状性的局灶性癫痫
第十三章反射性发作和反射性癫痫
第十四章杭癫痫药物
缩略语
书摘插图
第一章癫痫发作和癫痫综合征合征的临床诊断
具有癫痫发作的患者和他们的家庭应该充分获得准确的、针对性的诊断、治疗以及预后信息。医师和患者均不能仅满足于模糊和笼统的“癫痫”诊断,因为仅仅停留在“癫痫”的粗略诊断有可能导致治疗的偏差,并且有可能加重病情。“癫痫”不是单纯的疾病实体,而是由表现为多种多样的征状以及不同病因的多个综合征和疾病构成。癫痫发作和综合征的适当分类,对于正确的诊断、准确地治疗以及预后的判断必不可少。需要短期还是长期的治疗也常常与癫痫综合征类型相关。因此,我们非常强调准确诊断的必要性。
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