癫痫病史采集.pptVIP

痫性发作Epileptic Seizure;癫痫发作的临床特征之一:明确的起病和结束过程 Mode of onset termination;癫痫发作的临床特征之二:典型的临床表现Clinical manifestation;癫痫发作的临床特征之二:典型的临床表现Clinical manifestation;癫痫发作的临床特征之二:典型的临床表现Clinical manifestation;癫痫发作的临床特征之二:典型的临床表现Clinical manifestation;脑电图特征：异常强化的神经元同步Abnormal enhanced synchrony;临床下发作Subclinical seizures;癫痫的定义definition of epilepsy;至少一次痫性发作History of at least one seizure;持久的脑功能变化enduring alteration in the brain;伴随状况Associated conditions;非癫痫病发作nonepileptic seizures;现病史Present history;现病史Present history;首次起病Onset of the seizure;先兆 Aura;发作期表现 Ictal manifestations;习惯性发作Habitual seizures;发作持续时间Enduring time of seizure;意识状态State of consciousness;伴随症状Associated symptoms;发作与睡眠周期的关系Relationship of Sz with S/W cycle; 烦躁、疲倦或嗜睡irritation,tiredness 头痛、定向力障碍、记忆障碍 一过性失语 一过性偏瘫 Toddi’s麻痹 不对称性锥体束征阳性 ;非痫性发作的鉴别Nonepileptic disorders;发烧fever 过度疲劳overtired 睡眠不足insufficient sleep or deprivation of sleep 暴食饮酒overeating alcohol 月经周期变化menstruation cycle 各种不同的感觉刺激都可能引起反射性癫痫发作，如光、阅读、游戏、热浴;治疗情况Medication of AEDs;母孕史History of pregnancy ;围产期情况perinatal condition;生长发育史Development history;7个月：能翻身，叫其名有反应 8个月：俯卧能爬动，能发”ba-ba”和”ma-ma”音 9个月：扶床能站，能用指头拿取小物品 10个月：能用手指触摸物品，做再见手势 11个月：扶物站立时能抬一只腿 12个月：牵手行走或独自行走，说2-3个字 ;生长发育史Development history;既往史Past history;家族遗传史Family history of genetics;神经系统检查Neurological examination;头与脊柱Head spine;颅神经 Cranial Nerves;颅神经Cranial Nerves;运动系统Motor system;共济运动：指鼻试验、跟膝胫试验、单脚跳 感觉系统：浅感觉(触觉、痛觉、温度觉)；深感觉(运动觉、位置觉、振动觉)复合感觉 浅反射：角膜反射、咽反射、腹壁反射、提睾反射、柘反射、肛门反射； ;运动系统Motor system;癫痫发作的国际分类（１９８１年） ;癫痫发作先兆;自主神经性发作Autonomic seizures;失神发作Dialeptic Seizures;简单运动性发作Simple motor seizures;简单运动性发作 Simple motor seizures;复杂运动性发作complex motor seizures;复杂运动性发作 complex motor seizures;特殊性发作 Special seizures;特殊性发作 Special seizures;负性肌阵挛发作: being short(30-40ms) episodes of muscle atonia which are preceded by epileptiform discharges in the central region(20-30ms before the onset of the atonia);特殊性发作 Special seizures;阵发性事件Paroxysmal events;发作症状的分布Somatotopic distrib