Commentary on stimulus-induced arousal with transient electroencephalographic improvement distinguishes nonictal from ictal generalized periodic discharges.

IF 6.6 1区 医学 Q1 CLINICAL NEUROLOGY
Epilepsia Pub Date : 2024-10-18 DOI:10.1111/epi.18159
Marcus C Ng, Sahar Zafar, Brandon Foreman, Jennifer Kim, Aaron F Struck, M Brandon Westover
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引用次数: 0

Abstract

Here we critique recent arguments proposing to distinguish ictal from non-ictal generalized periodic discharges (GPDs) based on etiology and stimulation response, arguing that these are unreliable. We advocate for an empirical approach to GPDs: describe objectively, interpret through medication trials, and base further treatment on response. We call for evidence-based approaches considering meaningful clinical outcomes.

评论:刺激引起的唤醒与瞬时脑电图改善可区分非发作性和发作性全身周期性放电。
在此,我们对最近提出的根据病因和刺激反应区分发作性和非发作性广泛周期性放电(GPDs)的观点进行了批判,认为这些观点并不可靠。我们主张对 GPD 采取实证方法:客观描述,通过药物试验进行解释,并根据反应进一步治疗。我们呼吁采用循证方法,考虑有意义的临床结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Epilepsia
Epilepsia 医学-临床神经学
CiteScore
10.90
自引率
10.70%
发文量
319
审稿时长
2-4 weeks
期刊介绍: Epilepsia is the leading, authoritative source for innovative clinical and basic science research for all aspects of epilepsy and seizures. In addition, Epilepsia publishes critical reviews, opinion pieces, and guidelines that foster understanding and aim to improve the diagnosis and treatment of people with seizures and epilepsy.
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