儿童癫痫手术

Epilepsy surgery in children.

作者信息

Holmes G L, King D W

机构信息

Department of Neurology, Harvard Medical School, Children's Hospital, Boston, Massachusetts.

出版信息

Wien Klin Wochenschr. 1990 Mar 30;102(7):189-97.

PMID:2111605

Abstract

Epilepsy surgery is becoming an increasingly used therapy for children with severe, medically intractable seizures. Temporal lobe ablation, corpus callosotomy, and hemispherectomy are currently the most commonly performed procedures. In this review the presurgical evaluation of patients with medically intractable seizures is described and risks and benefits of the surgery discussed. In selected patients temporal lobectomies and hemispherectomies may totally eliminate seizures while corpus callosotomies frequently reduce number and severity of generalized seizures.

摘要

癫痫手术正日益成为治疗患有严重药物难治性癫痫儿童的常用疗法。颞叶切除术、胼胝体切开术和大脑半球切除术是目前最常施行的手术。在这篇综述中，描述了药物难治性癫痫患者的术前评估，并讨论了手术的风险和益处。在选定的患者中，颞叶切除术和大脑半球切除术可能完全消除癫痫发作，而胼胝体切开术常常会减少全身性癫痫发作的次数和严重程度。