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。

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

摘要

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。

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

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.

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来源期刊

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.