三相波：治疗还是不治疗？

IF 2 Q3 NEUROSCIENCES

Clinical Neurophysiology Practice Pub Date : 2025-01-01 DOI:10.1016/j.cnp.2025.06.001

Brin E. Freund , Khalil S. Husari , José L. Fernández-Torre , Philippe Gélisse , Peter W. Kaplan

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引用次数: 0

摘要

具有三相形态的广义周期性放电（gpd）（三相波，TWs）是脑电图波形，已成为评估其病因和临床相关性的研究热点。更具体地说，先前的研究试图更好地阐明它们对癫痫发作的影响，以帮助指导有关经验性治疗和脑电图监测的决策，尽管有多项研究，但由于不同的发现仍然存在争议。在这篇综述中，我们讨论了TWs的历史观点及其临床和影像学相关性，强调了TWs的典型和非典型特征，讨论了TWs与癫痫发作之间关系的争议，并提出了治疗方法。

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Triphasic waves: To treat or not to treat?

Generalized periodic discharges (GPDs) with triphasic morphology (triphasic waves, TWs) are EEG waveforms that have been a frequent topic of research evaluating their etiology and clinical correlates. More specifically, prior studies have tried to better elucidate their implications regarding seizures to help guide decision making regarding empiric treatment and EEG monitoring and in spite of multiple studies, controversies remain due to disparate findings. In this review we discuss the historical views of TWs and their clinical and radiographic correlates, highlight the typical and atypical features of TWs, discuss the controversy related to the association between TWs and seizures, and propose an approach to their management.

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来源期刊

Clinical Neurophysiology Practice NEUROSCIENCES-

CiteScore

3.90

自引率

0.00%

发文量

审稿时长

71 days

期刊介绍： Clinical Neurophysiology Practice (CNP) is a new Open Access journal that focuses on clinical practice issues in clinical neurophysiology including relevant new research, case reports or clinical series, normal values and didactic reviews. It is an official journal of the International Federation of Clinical Neurophysiology and complements Clinical Neurophysiology which focuses on innovative research in the specialty. It has a role in supporting established clinical practice, and an educational role for trainees, technicians and practitioners.