{"id":6466,"date":"2020-05-14T08:02:57","date_gmt":"2020-05-14T07:02:57","guid":{"rendered":"https:\/\/euromedic.rs\/pregledi\/sta-podrazumeva-multiparametrijski-mr-pregled-prostate-i-zasto-je-znacajan-copy\/"},"modified":"2020-10-07T10:47:17","modified_gmt":"2020-10-07T09:47:17","slug":"neurologija-epilepsija-eeg-epileptolog","status":"publish","type":"post","link":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/neurologija\/neurologija-epilepsija-eeg-epileptolog\/","title":{"rendered":"Neurologija – EEG u dijagnozi epilepsija"},"content":{"rendered":"

EEG u dijagnozi epilepsija<\/b><\/p>\n

Elektroencefalografija (EEG) je najva\u017enija (najsenzitivnija i najspecifi\u010dnija) dopunska metoda za dijagnozu, prognozu i terapiju epilepsija. Neurofiziolozi imaju obi\u010daj da ka\u017eu da je EEG neinvazivni \u201eprozor u mozak\u201c koji sem \u0161to mo\u017ee da potvrdi klini\u010dku dijagnozu epilepsije, pru\u017ea esencijalne informacije o aktivnosti mo\u017edane kore od zna\u010daja za dijagnozu pojedinih epilepti\u010dnih sindroma. U mnogim situacijama EEG je neophodna metoda za razlikovanje fokalnih od generalizovanih napada i epilepsija \u0161to je od presudnog zna\u010daja za izbor antiepilepti\u010dke terapije. Jedina je metoda za detekciju supklini\u010dkih napada (npr. apsansni napadi), fotosenzitivnosti i nekonvulzivnog epilepti\u010dnog statusa.\u00a0<\/span><\/p>\n

Na koji na\u010din EEG doprinosi dijagnostici epilepsije?<\/strong><\/p>\n

Tako \u0161to mo\u017ee da registruje prisustvo fokalnih ili generalizovanih interiktalnih epileptiformnih abnormalnosti (patolo\u0161ke promene izme\u0111u epilepti\u010dkih napada) u vidu \u0161iljaka, o\u0161trih talasa ili \u0161iljak-spor talas kompleksa. Prisustvo ovih promena u EEG snimku sna\u017eno koreli\u0161e sa dijagnozom epilepsije zbog toga \u0161to se one izuzetno retko vi\u0111aju kod ljudi koji nemaju epilepsiju (0,5-1%).<\/p>\n

Koja su ograni\u010denja rutinskog EEG pregleda?<\/strong><\/p>\n

Na prvom mestu mala vremenska (kratko trajanje snimanja) i prostorna (ograni\u010den broj elektroda) rezolucija zbog \u010dega je prvi interiktalni EEG (standardno EEG snimanje- traje oko 15 min) kod bolesnika sa epilepsijom pozitivan u svega 25-55%. Ponavljano i produ\u017eeno EEG snimanje, kao i snimanje u spavanju (radi se nakon neprospavane no\u0107i jer je ve\u0107a verovatno\u0107a da pacijent zaspi tokom snimanja koje traje u proseku oko 1h i 15 min ) uve\u0107ava senzitivnost EEG-a na 80%. Na\u017ealost, preostaje oko 15-20% la\u017eno negativnih nalaza zbog \u010dega EEG nije dobra \u201eskrining\u201c metoda u op\u0161toj populaciji pa neselektivno upu\u0107ivanje bolesnika na \u201erutinsko\u201c EEG snimanje umanjuje upotrebnu vrednost metode. Drugim re\u010dima, EEG ne mo\u017ee i ne sme da bude alternativa za klini\u010dke podatke i treba ga tuma\u010diti isklju\u010divo u kontekstu detaljne anamneze i poznavanju lekova koje pacijent uzima, starosti pacijenta i stanja budnosti tokom snimanja.<\/p>\n

U Euromedik ustanovama postoji mogu\u0107nost pregleda epileptologa (neurolog<\/a> sa dodatnom edukacijom iz oblasti epilepsija) i EEG snimanja (standardnog i EEG-a nakon deprivacije spavanja) u cilju postavljanja dijagnoze epilepti\u010dnog sindroma i pra\u0107enja terapijskog efekta kod svih pacijenata sa epilepsijom kroz redovne i vanredne kontrolne preglede i snimanja.<\/p>\n","protected":false},"excerpt":{"rendered":"

EEG u dijagnozi epilepsija Elektroencefalografija (EEG) je najva\u017enija (najsenzitivnija i najspecifi\u010dnija) dopunska metoda za dijagnozu,…<\/p>\n","protected":false},"author":1,"featured_media":6468,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[484],"tags":[414,295],"class_list":["post-6466","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-neurologija","tag-epilepsija","tag-neurologija"],"yoast_head":"\nNeurologija - Epilepsija, EEG, epileptolog - DIjagnostika i le\u010denje<\/title>\n<meta name=\"description\" content=\"Elektroencefalografija (EEG) je najva\u017enija (najsenzitivnija i najspecifi\u010dnija) dopunska metoda za dijagnozu, prognozu i terapiju epilepsija. Neurofiziolo..\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/neurologija\/neurologija-epilepsija-eeg-epileptolog\/\" \/>\n<meta property=\"og:locale\" content=\"sr_RS\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Neurologija - Epilepsija, EEG, epileptolog - DIjagnostika i le\u010denje\" \/>\n<meta property=\"og:description\" content=\"Elektroencefalografija (EEG) je najva\u017enija (najsenzitivnija i najspecifi\u010dnija) dopunska metoda za dijagnozu, prognozu i terapiju epilepsija. 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