INTRODUCTION:There is scant evidence to quantify the risk of contact sports such as football to patients with epilepsy. This retrospective review was performed to evaluate the incidence of injuries or seizure exacerbation related to football participation in patients with epilepsy. METHODS:Between the years 1994 and 2004, 157,709 consecutive clinic notes were searched for mention of "football" and "epilepsy" or "seizure". Resulting notes were reviewed to quantify the number of seizure exacerbations and the number of injuries in this cohort. RESULTS:Seven of 44 subjects with epilepsy (15.9%) experienced injury while playing football. Four of 32 (12.5%) patients experienced seizure exacerbation during a time when they were concurrently participating in football though 3 of these patients stopped taking or were weaned off of their antiepileptic drugs (AEDs). One in 32 patients with epilepsy (3.1%) had an exacerbation of seizures while playing football and consistently taking AEDs. CONCLUSION:The risk of injury and seizure exacerbation due to participation in football for patients with epilepsy is low. Clinicians should use their best judgment in deciding whether contact sports increase risks for a particular patient based on individual seizure frequency, concurrent neurological and medical issues, and medication adverse effects.

译文

简介:没有足够的证据来量化癫痫患者接触足球等接触性运动的风险。这项回顾性研究旨在评估癫痫患者因足球参与而导致的受伤或癫痫发作加重的发生率。
方法:在1994年至2004年之间,共检索到157,709篇临床笔记,以提及“足球”和“癫痫病”或“癫痫发作”。回顾了结果记录,以量化该队列中癫痫发作加重的数量和受伤的数量。
结果:44名癫痫患者中有7名(15.9%)在踢足球时受伤。 32例患者中有4例(12.5%)在同时参加足球比赛期间发作性癫痫发作加重,尽管其中3例患者停止服用或断奶了抗癫痫药(AED)。 32名癫痫患者中有1名(3.1%)在踢足球和持续服用AED时癫痫发作加重。
结论:癫痫患者因参加足球运动而受伤和癫痫发作加剧的风险较低。临床医生应根据个人的癫痫发作频率,并发的神经和医学问题以及药物不良反应,根据自己的最佳判断来判断接触运动是否会增加特定患者的风险。

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