Boon P A J M
Universiteit Gent, afd. Neurologie en Laboratorium voor Klinische en Experimentele Neurofysiologie, Gent, België.
Ned Tijdschr Geneeskd. 2006 Oct 28;150(43):2353-4.
In 60-85% of patients with refractory epilepsy, surgical excision of that part of the brain that is considered to be responsible for the development of epileptic seizures leads to the disappearance of the attacks. In the Netherlands, 60-70 patients undergo epilepsy surgery every year; this is a small number in comparison to the number of potential candidates. Patients with medically refractory epilepsy without structural damage on the MRI or with a lesion in or near specialised areas of the cortex could also be examined and then treated surgically. It is important that such patients be referred earlier for possible surgical treatment of their epilepsy.
在60%至85%的药物难治性癫痫患者中，手术切除被认为是导致癫痫发作的脑部区域会使发作消失。在荷兰，每年有60至70名患者接受癫痫手术；与潜在候选人数相比，这一数字较小。MRI检查无结构损伤或皮质特殊区域内或附近有病变的药物难治性癫痫患者也可接受检查，然后进行手术治疗。重要的是，应尽早将此类患者转诊，以便对其癫痫进行可能的手术治疗。
