Brain Research Institute, Florey Neurosciences Institutes, Austin Repatriation Hospital, Heidelberg West, Victoria, Australia.
Epilepsy Behav. 2011 Feb;20(2):182-9. doi: 10.1016/j.yebeh.2010.09.019. Epub 2010 Dec 9.
One of the most important components of presurgical evaluation of patients with epilepsy is structural imaging, predominantly using magnetic resonance imaging. This study is now part of the basic assessment of patients with epilepsy and is as important as the electroencephalogram. Epilepsy protocol magnetic resonance imaging studies must be part of the overall assessment of the patient. To understand the basis of the epileptic disorder, interpretation of these investigations relies on knowledge of the clinical details and features of the seizures, the functional abnormality in the brain as shown on the electroencephalogram, and structural assessment of the brain with a magnetic resonance imaging study optimized for epilepsy. This review considers the essential elements of this issue and gives a broad overview of what imaging options are available for the investigation of the patient with epilepsy from the perspective of the practicing epileptologist.
癫痫患者术前评估最重要的组成部分之一是结构成像，主要使用磁共振成像。这项研究现在是癫痫患者基本评估的一部分，与脑电图一样重要。癫痫方案磁共振成像研究必须是患者整体评估的一部分。为了了解癫痫障碍的基础，这些检查的解释依赖于对临床细节和发作特征、脑电图显示的大脑功能异常以及针对癫痫优化的磁共振成像研究对大脑结构的评估的了解。这篇综述考虑了这个问题的基本要素，并从癫痫专家的角度广泛概述了可用于癫痫患者检查的影像学选择。
