超越尖峰：功能性（解离性）癫痫是癫痫障碍整体态度的关键。

IF 6.6 1区医学 Q1 CLINICAL NEUROLOGY

Epilepsia Pub Date : 2025-09-23 DOI:10.1111/epi.18651

Mahinda Yogarajah, Barbara Dworetzky, Josemir W Sander, Angel Aledo-Serrano

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引用次数: 0

摘要

癫痫病学家可以通过对功能性癫痫患者的随访和协调护理来改善结果。癫痫性和功能性发作在机制上有一些重叠，包括内感受性、情绪和应激失调以及代理和感知障碍。类似的精神和神经合并症在功能性和癫痫发作人群中发生率相当。一个整体的，生物心理社会的方法有利于所有癫痫患者和反映癫痫护理的现代模式。

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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Beyond the spike: Functional (dissociative) seizures as a key to holistic attitudes in seizure disorders.

Epileptologists can improve outcomes through follow-up and coordination of care for patients with functional seizures. Epileptic and functional seizures share some mechanistic overlap involving interoceptive, emotional, and stress dysregulation, and disorders of agency and perception. Similar psychiatric and neurological comorbidities occur at comparable rates in both functional and epileptic seizure populations. A holistic, biopsychosocial approach benefits all seizure patients and reflects modern models of epilepsy care.

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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.