Therapie schwer behandelbarer Epilepsien bei Kindern und Jugendlichen View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2008-01

AUTHORS

T. Bast

ABSTRACT

Bei Vorliegen einer schwer behandelbaren Epilepsie gilt es nach Überprüfung der Syndromdiagnose die individuell aussichtsreichste Behandlung zu wählen. Die Epilepsiechirurgie stellt mit postoperativen Anfallsfreiheitsraten von 50–70% die Therapie der Wahl dar, falls ein solcher Eingriff bei einem individuellen Patienten möglich ist. Eine derartige Operation kommt für etwa 10–15% der Kinder mit schwer behandelbaren Epilepsien in Frage. Die Anwendung weiterer Antiepileptika erfordert eine große Erfahrung und Kenntnis um Wirksamkeitsspektren und Nebenwirkungspotenzial der Medikamente. Im Fall einer Kombinationsbehandlung müssen potenzielle Wechselwirkungen berücksichtigt werden. Als alternative Behandlungsformen kommen Vagusnervstimulation und ketogene Diät in Frage. Das Vorliegen einer schwer behandelbaren Epilepsie erfordert ein interdisziplinäres Behandlungskonzept unter besonderer Berücksichtigung psychosozialer Aspekte. More... »

PAGES

67-78

Journal

TITLE

Monatsschrift Kinderheilkunde

ISSUE

1

VOLUME

156

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00112-007-1654-y

DOI

http://dx.doi.org/10.1007/s00112-007-1654-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1045183497


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