The effectiveness of therapy correction in children with paroxysmal disorders of consciousness based on the results of video electroencephalographic monitoring

Background. An important condition for adequate drug therapy is the early differential diagnosis of paroxysmal conditions in children, the estab lishment or clarification of their epileptic or non-epileptic nature.Objective: to demonstrate the necessity, effectiveness and safety of the correction th...

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Main Authors: V. I. Guzeva, O. V. Guzeva, V. V. Guzeva, I. V. Okhrim, Yu. A. Eremkina, V. V. Orel
Format: Article
Language:Russian
Published: ABV-press 2021-02-01
Series:Русский журнал детской неврологии
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Online Access:https://rjdn.abvpress.ru/jour/article/view/348
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author V. I. Guzeva
O. V. Guzeva
V. V. Guzeva
I. V. Okhrim
Yu. A. Eremkina
V. V. Orel
author_facet V. I. Guzeva
O. V. Guzeva
V. V. Guzeva
I. V. Okhrim
Yu. A. Eremkina
V. V. Orel
author_sort V. I. Guzeva
collection DOAJ
description Background. An important condition for adequate drug therapy is the early differential diagnosis of paroxysmal conditions in children, the estab lishment or clarification of their epileptic or non-epileptic nature.Objective: to demonstrate the necessity, effectiveness and safety of the correction therapy in children with paroxysmal disorders of consciousness according to results of complex investigation, including video-electroencephalographic monitoring.Materials and methods. A comprehensive examination with the inclusion of video-electroencephalographic monitoring was carried out in 527 pa tients referred by neurologists to clarify the nature of paroxysmal consciousness disorder, clarify the form of epilepsy, and select an adequate treatment.Results. Based on the results obtained during the comprehensive examination of children with video-electroencephalographic monitoring, in all the examined children the diagnosed was corrected. According to the results of the survey, it was found that 210 children had non-epileptic paroxysms. In the overwhelming majority of cases, the treatment was changed.Conclusions. The presented results of treatment of children with epileptic and non-epileptic paroxysms after correction of treatment indicate the need for careful analysis of all data (clinical and anamnestic, electroencephalographic, laboratory) for correct diagnosis, identification of causes of resistance and reasonable selection of therapy in each patient.
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spelling doaj-art-df5004d6b32b4e0c8d55e7339a44684d2025-08-04T14:12:12ZrusABV-pressРусский журнал детской неврологии2073-88032412-91782021-02-01153-4263410.17650/2073-8803-2020-15-3-4-26-34232The effectiveness of therapy correction in children with paroxysmal disorders of consciousness based on the results of video electroencephalographic monitoringV. I. Guzeva0O. V. Guzeva1V. V. Guzeva2I. V. Okhrim3Yu. A. Eremkina4V. V. Orel5Saint Petersburg State Pediatric Medical University, Ministry of Health of RussiaSaint Petersburg State Pediatric Medical University, Ministry of Health of RussiaSaint Petersburg State Pediatric Medical University, Ministry of Health of RussiaSaint Petersburg State Pediatric Medical University, Ministry of Health of RussiaSaint Petersburg State Pediatric Medical University, Ministry of Health of RussiaSaint Petersburg State Pediatric Medical University, Ministry of Health of RussiaBackground. An important condition for adequate drug therapy is the early differential diagnosis of paroxysmal conditions in children, the estab lishment or clarification of their epileptic or non-epileptic nature.Objective: to demonstrate the necessity, effectiveness and safety of the correction therapy in children with paroxysmal disorders of consciousness according to results of complex investigation, including video-electroencephalographic monitoring.Materials and methods. A comprehensive examination with the inclusion of video-electroencephalographic monitoring was carried out in 527 pa tients referred by neurologists to clarify the nature of paroxysmal consciousness disorder, clarify the form of epilepsy, and select an adequate treatment.Results. Based on the results obtained during the comprehensive examination of children with video-electroencephalographic monitoring, in all the examined children the diagnosed was corrected. According to the results of the survey, it was found that 210 children had non-epileptic paroxysms. In the overwhelming majority of cases, the treatment was changed.Conclusions. The presented results of treatment of children with epileptic and non-epileptic paroxysms after correction of treatment indicate the need for careful analysis of all data (clinical and anamnestic, electroencephalographic, laboratory) for correct diagnosis, identification of causes of resistance and reasonable selection of therapy in each patient.https://rjdn.abvpress.ru/jour/article/view/348epileptic and non-epileptic paroxysmschildrenresistancetherapy
spellingShingle V. I. Guzeva
O. V. Guzeva
V. V. Guzeva
I. V. Okhrim
Yu. A. Eremkina
V. V. Orel
The effectiveness of therapy correction in children with paroxysmal disorders of consciousness based on the results of video electroencephalographic monitoring
Русский журнал детской неврологии
epileptic and non-epileptic paroxysms
children
resistance
therapy
title The effectiveness of therapy correction in children with paroxysmal disorders of consciousness based on the results of video electroencephalographic monitoring
title_full The effectiveness of therapy correction in children with paroxysmal disorders of consciousness based on the results of video electroencephalographic monitoring
title_fullStr The effectiveness of therapy correction in children with paroxysmal disorders of consciousness based on the results of video electroencephalographic monitoring
title_full_unstemmed The effectiveness of therapy correction in children with paroxysmal disorders of consciousness based on the results of video electroencephalographic monitoring
title_short The effectiveness of therapy correction in children with paroxysmal disorders of consciousness based on the results of video electroencephalographic monitoring
title_sort effectiveness of therapy correction in children with paroxysmal disorders of consciousness based on the results of video electroencephalographic monitoring
topic epileptic and non-epileptic paroxysms
children
resistance
therapy
url https://rjdn.abvpress.ru/jour/article/view/348
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