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Letter: Using Continuous Intracranial Electroencephalography Monitoring to Manage Epilepsy Patients During COVID-19
Neurosurgery ( IF 4.8 ) Pub Date : 2020-05-28 , DOI: 10.1093/neuros/nyaa244
Emily A Mirro 1 , Casey H Halpern 2
Affiliation  

The COVID-19 healthcare crisis and the resulting “stay-at-home” orders have created many obstacles for physicians across disciplines who are trying to maintain the standard of care This is particularly true for epilepsy patients with uncontrolled seizures who often require frequent ambulatory visits, ancillary testing, and even inpatient monitoring The American Epilepsy Society statement on COVID-19 advises epilepsy centers to utilize remote care options such as telephone, telehealth, and electronic health record messaging to manage their patients, a treatment model that is largely new to epilepsy care The urgent move to a remote care model is underscored by the International League Against Epilepsy, which advised physicians to counsel patients that they could experience an increase in seizures due to decreased access to antiepileptic medications (AEDs) and increased stress during COVID-19 Indeed, viral infection has been hypothesized to be one of the important causative factors of febrile seizures,1 though the risk of seizures due to COVID-19 and its related fevers remain debated 2 Novel remote-care options are thus needed during a crisis like this to ensure the best care possible for epilepsy patients [truncated]

中文翻译:

信件:在 COVID-19 期间使用连续颅内脑电图监测来管理癫痫患者

COVID-19 医疗保健危机和由此产生的“居家”命令为试图维持护理标准的跨学科医生制造了许多障碍 对于经常需要频繁门诊就诊的癫痫发作不受控制的患者尤其如此、辅助测试,甚至住院监测 美国癫痫协会关于 COVID-19 的声明建议癫痫中心利用远程护理选项,如电话、远程医疗和电子健康记录消息来管理他们的患者,这种治疗模式对癫痫来说基本上是新的国际抗癫痫联盟强调了向远程护理模式的紧急转变,建议医生告知患者,由于抗癫痫药物 (AED) 的使用减少和 COVID-19 期间的压力增加,他们可能会经历癫痫发作的增加。 事实上,病毒感染已被假设为热性惊厥的重要致病因素之一, 1 尽管 COVID-19 引起癫痫发作的风险及其相关发烧仍有争议 2 因此,在这样的危机中需要新颖的远程护理选择,以确保为癫痫患者提供最佳护理 [已截断]1 尽管 COVID-19 引起癫痫发作的风险及其相关发烧仍有争议 2 因此,在这样的危机中需要新颖的远程护理选择,以确保为癫痫患者提供最佳护理 [已截断]1 尽管 COVID-19 引起癫痫发作的风险及其相关发烧仍有争议 2 因此,在这样的危机中需要新颖的远程护理选择,以确保为癫痫患者提供最佳护理 [已截断]
更新日期:2020-05-28
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