Conditions and causes of status epilepticus.

作者: Dieter Janz

DOI: 10.1111/J.1528-1157.1942.TB00409.X

关键词: SurgeryCerebral edemaEpilepsyGynecologyStatus epilepticusMedicine

摘要: SUMMARY Stimulated by a publication Hunter (3) we have here briefly described the results of our investigations, published extensively elsewhere (7). Status epilepticus even in idiopathic epilepsies is not consequential symptom epilepsy as such but complication precipitated special circumstances. Ninety-five (3.67%) out 2588 patients with epileptic seizures had suffered one or more status. Two thirds all status cases should be classified symptomatic epilepsies. The frequency 6 times greater (9%) than (1.6%). For differential diagnosis it importance that 2/3 caused brain tumors and post-traumatic injuries, remainder inflammatory, toxic vascular affections medullary substance. essential factors to considered connection pathogenesis: extensive damage frontal lobe substance perifocal diffuse cerebral edema. It would seem reasonable assume an incipient edema forms pathogenetic link, for following drug withdrawal well during infection. RESUME Sous l'impression d'une de (3), nous avons brievement decrit les resultats nos recherches publiees ailleurs extenso Měme dans idiopathiques, l'etat mal n'est pas, comme tel, un symptome consequence l'epilepsie, mais une precipitee par des circonstances speciales. Quatre-vingt quinze malades ayant attaques d'epilepsie avaient souffert d'un ou plusieurs etats mal. Deux tiers tous ces cas d'etat doivent ětre classes symptomatiques. La frequence est fois plus considerable lors symptomatique que idiopathique Il important, quant au diagnostic differentiel, savoir symptomatiques sont causes tumeurs cerebrales lesions post-traumatiques, et le reste inflammatoires, toxiques vasculaires la couche medullaire. facteurs essentiels considerer en rapport avec pathogenese: endommagement extensif medullaire frontale lobaire oedeme diffus. semble raisonnable d'admettre qu'un son debut constitue chainon pathogenique essentiel faisant suite privation medicament survenant pendant infection.

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