Shaw M D, Foy P M
Mersey Regional Department of Medical & Surgical Neurology, Walton Hospital, Liverpool.
J R Soc Med. 1991 Apr;84(4):221-3. doi: 10.1177/014107689108400412.
A retrospective study of 1000 patients who had undergone supratentorial neurosurgery and with prolonged follow-up revealed an overall postoperative incidence of epilepsy of 17%. The incidence varied with different pathologies but anticonvulsants given prophylactically in a randomized trial did not significantly alter the incidence. Routine anticonvulsant prophylaxis cannot be recommended.
一项对1000例接受幕上神经外科手术且随访时间较长的患者的回顾性研究显示,术后癫痫的总体发生率为17%。发生率因不同病理情况而异,但在一项随机试验中预防性给予抗惊厥药物并未显著改变发生率。不建议进行常规抗惊厥药物预防。