摘要
现代儿童癫痫外科是儿童药物难治性癫痫最重要的治疗方法,手术的安全性与良好效果已经被很多研究所证实。然而,临床上仍有很多适合手术的患儿因为得不到正确的术前评估而延误了手术时机,或者没有得到合理的手术治疗而饱受癫痫发作的痛苦与发育、认知的伤害。本文将对现代儿童癫痫外科的手术适应证选择、术前评估的内容以及手术治疗方法与最新进展进行全面介绍,希望广大的儿科、神经内科与神经外科医生可以深入了解儿童癫痫外科并积极稳妥地在临床工作中开展。
Modern pediatric epilepsy surgery is the most important treatment for drug resistant epilepsy(DRE)in children.Thousands of published surgical series and several randomized controlled trials have demonstrated that surgical treatment is safe and effective for DRE.However,epilepsy surgery remains underutilized even in many developed countries.Many children who are potential surgical candidates are still suffering devastating seizures with cognitive/behavioral development being compromised.This review outlines important aspects of modern pediatric epilepsy surgery,including what are the indications for presurgical evaluation,how to perform presurgical evaluation by a multidisciplinary team of epilepsy specialists at a pediatric epilepsy center,and a brief introduction of epilepsy surgery including its recent advances.Hopefully,this review can help general pediatrician and neurosurgeons get a better understanding of pediatric epilepsy surgery and its further development in the future.
作者
蔡立新
Cai Lixin(Children's Epilepsy Center,Peking University First Hospital,Beijing 100034,China)
出处
《中华临床医师杂志（电子版）》
CAS
北大核心
2021年第8期561-566,共6页
Chinese Journal of Clinicians(Electronic Edition)
关键词
儿童
难治性
癫痫
外科治疗
Children
Refractory
Epilepsy
Surgical treatment
