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Также специалист занимается коррекцией сопутствующих неврологических и когнитивных нарушений, которые часто возникают у пациентов [2](https://clma-nn.ru/specializations/poliklinicheskoe-otdelenie/epileptologiya). \n\n**Задача эпилептолога** — контролировать течение болезни и свести к минимуму риск эпилептических приступов [4](https://klinika-zdorovie.ru/articles/epileptolog-kto-eto-i-chto-lechit/).\n\n## Показания к консультации\nКонсультация эпилептолога рекомендуется при наличии ряда симптомов, например: \n* эпизоды потери сознания, даже кратковременного и без судорог [4](https://klinika-zdorovie.ru/articles/epileptolog-kto-eto-i-chto-lechit/); \n* дезориентация в пространстве или необычное поведение [4](https://klinika-zdorovie.ru/articles/epileptolog-kto-eto-i-chto-lechit/); \n* утреннее дрожание рук [4](https://klinika-zdorovie.ru/articles/epileptolog-kto-eto-i-chto-lechit/); \n* повторяющиеся головокружения и головные боли [4](https://klinika-zdorovie.ru/articles/epileptolog-kto-eto-i-chto-lechit/); \n* необычное поведение во сне [4](https://klinika-zdorovie.ru/articles/epileptolog-kto-eto-i-chto-lechit/). \n\nТакже к врачу можно обратиться для получения второго мнения, когда необходимо пересмотреть диагноз или тактику лечения [3](https://www.ckbran.ru/clinic/doctor-consult/epileptolog).\n\n## Диагностика\nЭпилептолог проводит обследование, анализирует структуру приступов, сопутствующие симптомы и данные предыдущих исследований (если имеются) [8](https://klever27.ru/priem-epileptologa/). При необходимости врач направляет на дополнительные обследования, например: \n* **Электроэнцефалография (ЭЭГ)** — фиксирует электрическую активность мозга [2](https://clma-nn.ru/specializations/poliklinicheskoe-otdelenie/epileptologiya)[9](https://rusmedserv.com/neurologycenter/epilepsy/metodi/). \n* **Магнитно-резонансная томография (МРТ)** — помогает оценить структуры головного мозга, обнаружить причину симптоматической эпилепсии (например, когда болезнь — следствие травмы, инсульта, опухоли) [3](https://www.ckbran.ru/clinic/doctor-consult/epileptolog). \n* **Видео-ЭЭГ-мониторинг** — позволяет зафиксировать приступы и их связь с активностью мозга в режиме реального времени [2](https://clma-nn.ru/specializations/poliklinicheskoe-otdelenie/epileptologiya).\n\n## Лечение\nЛечение направлено на устранение приступов и улучшение качества жизни пациента [2](https://clma-nn.ru/specializations/poliklinicheskoe-otdelenie/epileptologiya). Некоторые подходы: \n* **Медикаментозная терапия** — применение противоэпилептических препаратов, которые снижают частоту и тяжесть приступов [2](https://clma-nn.ru/specializations/poliklinicheskoe-otdelenie/epileptologiya). Лекарства подбираются врачом индивидуально [2](https://clma-nn.ru/specializations/poliklinicheskoe-otdelenie/epileptologiya). \n* **Хирургическое лечение** — показано в случаях, когда патология вызвана локальными поражениями мозга, например, опухолью [2](https://clma-nn.ru/specializations/poliklinicheskoe-otdelenie/epileptologiya). \n* **Неврологическая стимуляция** — использование специальных устройств для модуляции электрической активности мозга [2](https://clma-nn.ru/specializations/poliklinicheskoe-otdelenie/epileptologiya). \n\nВ процессе лечения доктор наблюдает за состоянием пациента, чтобы при необходимости скорректировать дозировку препаратов или провести их замену [4](https://klinika-zdorovie.ru/articles/epileptolog-kto-eto-i-chto-lechit/).\n\n## Рекомендации по образу жизни\nЭпилептолог даёт рекомендации по образу жизни, питанию, режиму сна и другим важным аспектам [8](https://klever27.ru/priem-epileptologa/). Например: \n* **Избегать провоцирующих факторов** — например, недосыпания, раннего и насильственного пробуждения, длительного сна в дневное время [14](https://hospital-vrn.ru/pacientam/profilaktika-i-zdorovyj-obraz-zhizni1/pamyatka-dlya-pacientov-s-epilepsiej/). \n* **Исключить употребление алкоголя** — он провоцирует приступы, повышает их частоту и усиливает тяжесть [13](https://tonus-life.ru/klinika-nevrologii-i-epileptologii/centr-jepileptologii/rekomendacii-po-obrazu-zhizni-dlja-bolnyh-jepilepsiej/)[14](https://hospital-vrn.ru/pacientam/profilaktika-i-zdorovyj-obraz-zhizni1/pamyatka-dlya-pacientov-s-epilepsiej/). \n* **Соблюдать осторожность** при путешествиях и изменении часовых поясов — эти факторы связаны с риском развития припадков [15](https://www.neuro-ural.ru/patient/dictonary/ru/ie/epilepsiya-obraz-zhizni-chto-mozhno-i-chto-nelzya.html).","linksData":[{"sourceId":1,"url":"https://www.mckolomen.ru/meditsinskiy-tsentr-v-kolomenskom/poliklinika/nevrologiya/epileptologiya/","shownUrl":"https://www.mckolomen.ru/meditsinskiy-tsentr-v-kolomenskom/poliklinika/nevrologiya/epileptologiya/","title":"Эпилептолог","shortUrl":"mckolomen.ru","isTranslated":false,"description":"","greenUrl":"mckolomen.ru"},{"sourceId":2,"url":"https://clma-nn.ru/specializations/poliklinicheskoe-otdelenie/epileptologiya","shownUrl":"https://clma-nn.ru/specializations/poliklinicheskoe-otdelenie/epileptologiya","title":"Эпилептология - лечение в клинике Александрия","shortUrl":"clma-nn.ru","isTranslated":false,"description":"","greenUrl":"clma-nn.ru"},{"sourceId":3,"url":"https://www.ckbran.ru/clinic/doctor-consult/epileptolog","shownUrl":"https://www.ckbran.ru/clinic/doctor-consult/epileptolog","title":"Эпилептолог в Москве – приём, консультация и диагностика в НКЦ №2","shortUrl":"ckbran.ru","isTranslated":false,"description":"","greenUrl":"ckbran.ru"},{"sourceId":4,"url":"https://klinika-zdorovie.ru/articles/epileptolog-kto-eto-i-chto-lechit/","shownUrl":"https://klinika-zdorovie.ru/articles/epileptolog-kto-eto-i-chto-lechit/","title":"Врач-эпилептолог – кто это, и какие симптомы он лечит. 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