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Введение

Установление этиологии заболевания - первоочередная клиническая задача при ведении новорожденных с эпилептическими приступами. В некоторых случаях точное определение причины заболевания позволяет провести этиотропную терапию и тем самым предотвратить дальнейшее повреждение ЦНС. Кроме того, лечение, направленное на основное заболевание, являющееся причиной приступов, может быть необходимым для уменьшения (или даже устранения) самих приступов.

Хотя ведется много дискуссий о потенциальном неблагоприятном воздействии эпилептических приступов на незрелый мозг, наиболее вероятными ключевыми факторами, влияющими на отдаленный исход, являются этиология приступов, а также степень и распространенность поражения головного мозга, вызванного первичным патологическим процессом.

В данной статье обсуждаются неонатальные приступы в контексте их этиологии, с акцентом на острые симптоматические эпилептические приступы. Встречающиеся гораздо реже неонатальные эпилептические синдромы обсуждаются в отдельной статье.

Клиническая картина, диагностика, выяснение этиологии и лечение неонатальных приступов освещены в отдельных статьях.

Классификация

Острые спровоцированные (симптоматические) приступы

Неонатальные эпилептические синдромы

Прогноз

Полезные материалы

Резюме

Список литературы