Exposición del Dr Cristian Carpio Bazán (Médico Neurólogo) en I Congreso de Neurología del Hospital Guillermo Almenara Irigoyen. Noviembre 2012.Descri...
NELSON TEXTBOOK OF PEDIATRICS, 18th EDITIONFull description
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HOSPITAL NACIONAL HOSPITAL NACI ONAL GUILLERMO ALMENARA IRIGOYEN
I CONGRESO DE NEUROLOGÍA N EUROLOGÍA
Nuevaa Clasificación de Epilepsia Nuev
Dr.. Cristian Carpio Bazán Dr
2012
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Concepto de Clasificación de Enfermedades. • “ Una clasificación de enfermedades puede definirse como
un sistema de categorías a las que se asignan entidades morbosas de conformidad con criterios establecidos.
• La clasificación puede girar en torno a muchos ejes
posibles, y la elección de uno en particular estará determinada por el uso que se hará de las estadísticas recopiladas.
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Definición de Crisis Epiléptica y Epilepsia ILAE 2005 • Una crisis epiléptica es una ocurrencia transitoria de
signos y / o síntomas debido a la actividad neuronal anormal excesiva o sincrónica en el cerebro. cerebro. • La epilepsia es un trastorno del cerebro caracterizado
por una predisposición duradera a generar crisis epilépticas y por las consecuencias neurobiológicas, cognitivas, psicológicas y sociales de esta enfermedad;
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Liga Internacional contra contra la Epilepsia (ILAE) •
La ILAE se origina en Budapest en 1909, con la participación de los Estados Unidos de América, Argelia y ocho países europeos. En ese mismo año aparece su órgano oficial, la revista EPILEPSIA en cuyo comité editorial se encontraba John Hughlings Jackson. 1. Promover estudios epidemiológicos para establecer el impacto de la enfermedad en los diferentes países. 2. Mejorar las condiciones de vida de los pacientes e insistir en la prevención de la enfermedad.
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Primera Clasificación Gastaut 1969 • La primera clasificación de la ILAE en 1969 tuvo un enfoque básicamente clínico. • Proporcionó un sistema estándar que fue eventualmente aceptado en todo el mundo; en ella
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Clasificación de Kioto 1981 •
La clasificación de Kioto, en 1981, se orientó hacia las crisis, definidas como crisis focales (parciales/ locales) sin afectación de conciencia (simples) y con afectación de conciencia (complejas); crisis focales con generalización secundaria; y se incluyó una nueva categoría de crisis no clasificadas.
•
Se basaba en la clínica de cada tipo de crisis
Bandera de Kioto - Japón
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Clasificación clásica de
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Clasificación Nueva Delhi 1989 •
En Nueva Delhi, en 1989, la clasificación se enfocó en los síndromes epilépticos e intentó clasificarlos por etiología.
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Esquema de la clasificación de las epilepsias de la Liga Internacional contra contra la Epilepsia de 1989. •
Relacionadas con una localización (focales, parciales) – Idiopáticas (p. ej., epilepsia infantil benigna con puntas centrotemporales) – Sintomáticas (p. ej., epilepsias del lóbulo temporal, epilepsias del lóbulo frontal) – Criptogénicas
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CLASIFICACIÓN EPILEPSIA CIE 10 1992 G40.0
Epilepsia y síndromes epilépticos idiopáticos relacionados con localizaciones (focales) (parciales) y con ataques de inicio localizado - Epilepsia infantil benigna con EEG con puntas centrotemporales - Epilepsia infantil con EEG con paroxismos occipitales
G40.1
Epilepsia y síndromes epilépticos sintomáticos
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G40.3
Epilepsia y síndromes epilépticos idiopáticos generalizados. - Ataques epilépticos no especificados: es pecificados: • atónicos • clónicos • mioclónicos • tónicos • tónico-clónicos
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Clasificación del XXIV Congreso Internacional Internacional de
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