Wieser H G
Department of Neurology, University Hospital Zürich, Switzerland.
Acta Neurochir Suppl (Wien). 1990;50:64-71. doi: 10.1007/978-3-7091-9104-0_13.
Preconditions, selection criteria for surgical treatment of epilepsy and some aspects of the presurgical evaluation are discussed. Identification of those patients who will profit from epilepsy surgery, exact localization of the seizure generating structures, and evaluation of the potential risks of the proposed operation are the main goals of the preoperative diagnostic procedures. The localizational value of certain seizure patterns and ictal clinical signs and symptoms is reviewed and illustrated with symptoms provoked by electrical stimulation of the brain.
本文讨论了癫痫手术治疗的前提条件、选择标准以及术前评估的某些方面。确定哪些患者将从癫痫手术中获益、精确确定癫痫发作起始结构的位置以及评估拟行手术的潜在风险是术前诊断程序的主要目标。本文回顾了某些癫痫发作模式以及发作期临床体征和症状的定位价值,并用大脑电刺激诱发的症状进行了说明。