McKhann Guy M, Bourgeois Blaise F D, Goodman Robert R
Department of Neurological Surgery, Columbia University, New York, New York, USA.
Semin Neurol. 2002 Sep;22(3):269-78. doi: 10.1055/s-2002-36653.
The surgical treatment of epilepsy is divided into procedures with curative or palliative goals. Curative procedures are highly effective in rendering the majority of patients seizure free, and palliative procedures often result in marked improvement in seizure frequency, quality of life, or both. This brief overview of epilepsy surgery outlines the goals of surgery, criteria used to determine patient eligibility, the various types of epilepsy surgery, and anticipated outcomes of these approaches. Newer surgical techniques including vagus nerve and deep brain stimulation and gamma knife radiosurgery are also discussed.
癫痫的外科治疗分为以治愈或缓解为目标的手术。治愈性手术在使大多数患者无癫痫发作方面非常有效，而姑息性手术通常会使癫痫发作频率、生活质量或两者都有显著改善。这篇关于癫痫手术的简要概述概述了手术目标、用于确定患者是否适合手术的标准、癫痫手术的各种类型以及这些方法的预期结果。还讨论了包括迷走神经刺激、脑深部电刺激和伽玛刀放射外科在内的新型手术技术。
