临床医学读书笔记
pubmedmedical
临床医学，精益求精！
病因：
Stroke[7]
Hemorrhage[7]
Intoxicants[7]or adverse reactions to drugs
Insufficient dosageor sudden withdrawal of a medication (especiallyanticonvulsants)
Consumption of alcoholic beverages while on an anticonvulsant, oralcohol withdrawal
Dieting or fasting while on an anticonvulsant
Starting on a new medication that reduces the effectiveness of the anticonvulsant or changes drug metabolism, decreasing itshalf-life, leading to decreased blood concentrations
Developing a resistanceto an anticonvulsant already being used
Gastroenteritiswhile on an anticonvulsant, because thedigestive systemmayforce outthe anticonvulsant, thereby depriving the body of protection
Developing a new, unrelated condition in which seizures are coincidentally also a symptom, but are not controlled by an anticonvulsant already used
Metabolic disturbances—such as affected kidney and liver[7]
Sleep deprivationof more than a short duration is often the cause of a (usually, but not always, temporary) loss of seizure control; those whose seizures are inherently severe but otherwise controlled by medication can regress and have severe seizures or status epilepticus even if they are still taking their medication unless they regain their rest.
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