The value of hypothermia as a neuroprotective and antiepileptic strategy in patients with status epilepticus: an update of the literature.

IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Expert Review of Neurotherapeutics Pub Date : 2024-11-24 DOI:10.1080/14737175.2024.2432869
Stéphane Legriel, Candice Fontaine, Gwenaelle Jacq
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Abstract

Introduction: Status epilepticus represents a significant neurological emergency, with high morbidity and mortality rates. In addition to standard care, the identification of adjuvant strategies is essential to improve the outcome.

Areas covered: The authors conducted a narrative review to provide an update on the value of hypothermia as an antiseizure and neuroprotective treatment in status epilepticus.

Expert opinion: The use of targeted temperature management in the treatment of hypothermia in patients with status epilepticus represents a potentially promising adjuvant strategy, supported by a substantial body of experimental evidence. However, further clinical data demonstrating its efficacy are necessary before it can be recommended for routine use in targeted patient populations, such as those with refractory or super-refractory status epilepticus.

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低体温作为神经保护和抗癫痫策略对癫痫状态患者的价值:文献更新。
导言:癫痫状态是一种严重的神经系统急症,发病率和死亡率都很高。除标准护理外,确定辅助策略对改善预后至关重要:作者对低体温作为癫痫状态下抗癫痫和神经保护治疗的价值进行了叙述性综述,并提供了最新进展:专家观点:在癫痫状态患者的低体温治疗中使用有针对性的体温管理是一种有潜在前景的辅助策略,并有大量实验证据支持。然而,在推荐将其常规用于目标患者群体(如难治性或超难治性癫痫状态患者)之前,还需要进一步的临床数据证明其疗效。
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来源期刊
Expert Review of Neurotherapeutics
Expert Review of Neurotherapeutics Medicine-Neurology (clinical)
CiteScore
7.00
自引率
2.30%
发文量
61
审稿时长
4-8 weeks
期刊介绍: Expert Review of Neurotherapeutics (ISSN 1473-7175) provides expert reviews on the use of drugs and medicines in clinical neurology and neuropsychiatry. Coverage includes disease management, new medicines and drugs in neurology, therapeutic indications, diagnostics, medical treatment guidelines and neurological diseases such as stroke, epilepsy, Alzheimer''s and Parkinson''s. Comprehensive coverage in each review is complemented by the unique Expert Review format and includes the following sections: Expert Opinion - a personal view of the data presented in the article, a discussion on the developments that are likely to be important in the future, and the avenues of research likely to become exciting as further studies yield more detailed results Article Highlights – an executive summary of the author’s most critical points
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