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DILACERARI CEREBRALE

FRACTURI CU INFUNDARE

FRACTURI CRANIENE MULTIPLE LA COPIL SI


EDEM CEREBRAL MASIV

FRACTURA CU INFUNDARE SI CONTUZIE


HEMORAGICA SECUNDARA SUBIACENTA

Studiul

Nr

Crize
precoce
%

Factori de risc
Amnezie >24h, varsta
<5ani, fracturi,
hemoragie
intracraniana
Varsta<15 ani, TCC
sever
Varsta <16 ani, deficite
focale, PC>30 min,
fracturi
craniene,hematoame

Jennett and
Lewin

896

4.2

Annegers et
al.

2747

2.1

Desai et al.

702

4.1

Annegers et
al.

4541

2.6

Ne evaluati

Hahn et al.

937

9.8

GCS 38, edem difuz,


HSD acute

Angeleri et al.

137

Asikainen et
al.

490

16.3

Englander et
al.

647

Crize
tardive %

Factori de risc

10.2

Crize precoce, amnezie >24h,


fracturi cu infundare,
hematoame intracerebrale

1.9

TCC sever, crize precoce

2.1

TCC sever, contuzii, HSD


amnezie, PC >24h
-

Ne evaluati

13.1

GCS 38, early seizures, single


brain CT lesions, EEG focus

Varsta <8 ani

25.3

Crize precocer, fracturi


craniene depresive

10.2

Contuzii multiple bilaterale,


dilacerari durale, alte interventii
cerebrale, deplasare de linie
mediana >5mm, hematoame
subdurale evacuate

Ne evaluati

Epilepsy Curr. 2006 January; 6(1): 15.


doi: 10.1111/j.1535-7511.2005.00083.x.
Copyright 2006 by the American Epilepsy Society

ACETAZOLAMIDE
ACETAZOLOMIDE MODIFIED RELEASE
CARBAMAZEPINE
CARBAMAZEPINE MODIFIED RELEASE
CLOBAZAM
CLONAZEPAM
ETHOSUXIMIDE
GABAPENTIN
LAMOTRIGINE
LEVETIRACETAM

OXCARBAZEPINE
PHENOBARBITAL (PHENOBARBITONE)
PHENYTOIN
PREGABALIN
PRIMIDONE
SODIUM VALPROATE
SODIUM VALPROATE MODIFIED RELEASE

TIAGABINE
TOPIRAMATE
VALPROIC ACID
VIGABATRIN
ZONISAMIDE

PACIENTA RAMANE IN TRATAMENT CU CARABAMAZEPIN


800 MG/ZI, SUB CARE NU MAI FACE CRIZE

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