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Erschienen in: InFo Neurologie + Psychiatrie 11/2021

19.11.2021 | Elektroenzephalografie | Zertifizierte Fortbildung Neurologie

Akut symptomatisch versus unprovoziert

Epileptische Anfälle bei Schlaganfall

verfasst von: Dr. Dr. med. Steffen Tiedt

Erschienen in: InFo Neurologie + Psychiatrie | Ausgabe 11/2021

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Auszug

Epileptische Anfälle sind eine häufige und relevante Komplikation nach Schlaganfall, die mit einem langfristig schlechteren funktionellen Status der Patienten einhergehen. Akut symptomatische Anfälle innerhalb der ersten sieben Tage nach Schlaganfall grenzen sich pathophysiologisch von später auftretenden unprovozierten Anfällen ab, die eine Epilepsie definieren und sekundärprophylaktisch behandelt werden sollten. Das individuelle Risiko für eine Epilepsie nach Schlaganfall kann mittels eines Scores gut vorhergesagt werden. In einer präziser werdenden Medizin könnten genetische Informationen sowie bildgebende und zirkulierende Biomarker die Vorhersagegenauigkeit weiter verbessern, um Patienten zukünftig für eine Primärprophylaxe auswählen zu können.
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Metadaten
Titel
Akut symptomatisch versus unprovoziert
Epileptische Anfälle bei Schlaganfall
verfasst von
Dr. Dr. med. Steffen Tiedt
Publikationsdatum
19.11.2021
Verlag
Springer Medizin
Erschienen in
InFo Neurologie + Psychiatrie / Ausgabe 11/2021
Print ISSN: 1437-062X
Elektronische ISSN: 2195-5166
DOI
https://doi.org/10.1007/s15005-021-2108-0