How to Manage Electrical Status Epilepticus in Sleep

作者:Veggiotti Pierangelo; Pera Maria Carmela; Olivotto Sara; De Giorgis Valentina
来源:Journal of Clinical Neurophysiology, 2016, 33(1): 3-9.
DOI:10.1097/wnp.0000000000000235

摘要

Electrical status epilepticus in sleep is an age-dependent syndrome with the characteristic pattern of continuous spike and waves during non-rapid eye movement sleep. Most children can present developmental deterioration. The demonstration of the EEG pattern has to rely on all night long EEG recordings. A comprehensive neuropsychologic evaluation with periodic reassessment should be performed. For the idiopathic forms of electrical status epilepticus in sleep, clobazam could be considered as the firstline therapy; in the other cases, corticosteroids, in particular intravenous methylprednisolone pulse therapy, remain the most effective and should be considered the therapy of choice.

  • 出版日期2016-2