Polkey C E
Neurosurgical Unit, Maudsley Hospital, London, U.K.
Acta Neurochir Suppl (Wien). 1990;50:128-30. doi: 10.1007/978-3-7091-9104-0_25.
The principles underlying such surgery are reviewed, together with details of the necessary investigation, and a review of long term results from the literature. Cortical Resection for epilepsy remains a useful treatment for drug resistant epilepsy when a cortical focus can be identified by neurophysiological or radiological means. Such a resection has a reasonable chance of relieving or ameliorating the epilepsy with only a small chance of producing or worsening any neurological deficit.
本文回顾了此类手术的基本原理,以及必要检查的详细情况,并对文献中的长期结果进行了综述。对于药物难治性癫痫,当通过神经生理学或放射学方法能够确定皮质病灶时,皮质切除术仍是一种有效的治疗方法。这种切除术有合理的机会缓解或改善癫痫症状,而产生或加重任何神经功能缺损的可能性很小。