Baylé F-J, de Toffol B
U 796, service hospitalo-universitaire de psychiatrie, centre hospitalier de Sainte-Anne, université Paris-Descartes, 1, rue Cabanis, 75014 Paris, France.
Neurochirurgie. 2008 May;54(3):253-5. doi: 10.1016/j.neuchi.2008.02.020. Epub 2008 Apr 29.
Psychiatric disorders and behavioral disturbances may complicate the postsurgical outcome in patients and de novo psychiatric symptoms have been reported. In numerous, but not all epilepsy surgical centers, a psychiatric assessment is included as part of the presurgical evaluation of potential candidates for surgery. Affective disorders and psychosis are the most frequently reported postsurgical psychiatric disorders. There are no absolute psychiatric contraindications to surgery. Specific preexisting psychiatric conditions may need cautious consideration because there may be a risk of postsurgical psychiatric complications. Routine pre- and postsurgical psychiatric evaluations in patients undergoing epilepsy surgery are urgently needed. Clinicians involved in the care of surgical candidates should be aware of the possible psychiatric complications following surgery.
精神障碍和行为紊乱可能会使患者术后结果复杂化，并且已有新发精神症状的报道。在许多（但并非所有）癫痫手术中心，精神病学评估被纳入潜在手术候选人术前评估的一部分。情感障碍和精神病是最常报道的术后精神障碍。手术没有绝对的精神科禁忌证。特定的既往精神状况可能需要谨慎考虑，因为术后可能存在精神科并发症的风险。迫切需要对接受癫痫手术的患者进行常规的术前和术后精神科评估。参与手术候选人护理的临床医生应意识到术后可能出现的精神科并发症。
