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强直性和失张力性癫痫发作:下一步该如何选择——迷走神经刺激术还是胼胝体切开术?

Tonic and atonic seizures: what's next--VNS or callosotomy?

作者信息

Rosenfeld William E, Roberts David W

机构信息

The Comprehensive Epilepsy Care Center for Children and Adults, St Louis, Missouri, USA.

出版信息

Epilepsia. 2009 Sep;50 Suppl 8:25-30. doi: 10.1111/j.1528-1167.2009.02232.x.

Abstract

Medically intractable tonic and atonic seizures may be responsive to either vagus nerve stimulation (VNS) or corpus callosum section. VNS has been shown to be effective and is associated with very low morbidity. Callosotomy is a more ambitious procedure, with a higher risk of complications but greater likelihood of seizure improvement.

摘要

药物难治性强直和失张力发作可能对迷走神经刺激(VNS)或胼胝体切开术有效。VNS已被证明是有效的,且发病率极低。胼胝体切开术是一种更为激进的手术,并发症风险较高,但癫痫发作改善的可能性更大。

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