Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김주한 | - |
dc.date.accessioned | 2018-03-22T04:51:48Z | - |
dc.date.available | 2018-03-22T04:51:48Z | - |
dc.date.issued | 2013-01 | - |
dc.identifier.citation | 대한신경과학회지, 2013, 31(2), P.101-107(7) | en_US |
dc.identifier.issn | 1225-7044 | - |
dc.identifier.uri | https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART001767011 | - |
dc.identifier.uri | http://hdl.handle.net/20.500.11754/50446 | - |
dc.description.abstract | Background: Seizures occur in 2-20% of stroke patients. Recent studies have reported that post-stroke seizures are associated with poorer functional outcomesand higher mortality. However there are no official guidelines on how to use antiepileptic drugs (AEDs) in stroke-related seizures. In this study we surveyed neurologists and neurosurgeons and compared the responses of subgroups categorized by department, specialty and workplace discrimination using a questionnaire containing questions concerning the present tendency to use AEDs in stroke patients. Methods: 256 neurologists and neurosurgeons participated in the survey. The research instrument was a questionnaire comprising 9 parts and 30 questions. The questions concerned stroke mechanism, the prophylactic use of AEDs, and the choice of AED in early and late onset post-stroke seizures. Results: Tendencies to use prophylactic AEDs in stroke differed depending on specialty and workplace(neurologist vs. neurosurgeon; 17.8% vs. 83.1%, p<0.001, hospital vs. university staff; 46.2% vs. 28.4%, p=0.05). The most commonly used prophylactic AEDs were valproic acid (75%) and levetiracetam (60%). Carbamazepine was the most commonly used AED and phenytoin and phenobarbital were still used in all subgroups to treat post-stroke seizures. Conclusions: There are significant differences between neurologists (17.8%) and neurosurgeons (83.1%) in the use of prophylactic AEDs after stroke. Valproic acid and levetiracetam are considered first-line prophylactic AEDs by neurosurgeon. Phenytoin and phenobarbital are still used in post-stroke seizure although they have been reported to have an adverse influence on motor recovery. We suggest that proper guidelines should be established for the use of AEDs in stroke-related seizures. | en_US |
dc.language.iso | ko_KR | en_US |
dc.publisher | 대한신경과학회 | en_US |
dc.subject | 신경과 | en_US |
dc.subject | 신경외과 | en_US |
dc.subject | 뇌졸중 | en_US |
dc.subject | 항경련제 | en_US |
dc.subject | Post-stroke seizure | en_US |
dc.subject | Survey | en_US |
dc.subject | Antiepileptic drug | en_US |
dc.title | 신경과, 신경외과 의사를 대상으로 한 뇌졸중 환자에서 항경련제 사용에 대한 설문조사 | en_US |
dc.title.alternative | A Survey of the Use of Antiepileptic Drugs in Stroke Patients | en_US |
dc.type | Article | en_US |
dc.relation.no | 2 | - |
dc.relation.volume | 31 | - |
dc.relation.page | 101-107 | - |
dc.relation.journal | 대한신경과학회지 | - |
dc.contributor.googleauthor | 이진호 | - |
dc.contributor.googleauthor | 조원호 | - |
dc.contributor.googleauthor | 박평강 | - |
dc.contributor.googleauthor | 김재형 | - |
dc.contributor.googleauthor | 장우영 | - |
dc.contributor.googleauthor | 김현영 | - |
dc.contributor.googleauthor | 김영서 | - |
dc.contributor.googleauthor | 김희태 | - |
dc.contributor.googleauthor | 김주한 | - |
dc.contributor.googleauthor | Lee, Jinho | - |
dc.contributor.googleauthor | Jho, Wonho | - |
dc.contributor.googleauthor | Park, Pyeong-Kang | - |
dc.contributor.googleauthor | Kim, Jaehyung | - |
dc.contributor.googleauthor | Jang, Wooyoung | - |
dc.contributor.googleauthor | Kim, Hyun Young | - |
dc.contributor.googleauthor | Kim, Young Seo | - |
dc.contributor.googleauthor | Kim, Hee-Tae | - |
dc.contributor.googleauthor | Kim, Juhan | - |
dc.relation.code | 2012211859 | - |
dc.sector.campus | S | - |
dc.sector.daehak | COLLEGE OF MEDICINE[S] | - |
dc.sector.department | DEPARTMENT OF MEDICINE | - |
dc.identifier.pid | kimjuhan | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.