Singh V P
Department of Neurosurgery, Indraprastha Apollo Hospital, New Delhi, India.
J Pediatr Neurosci. 2011 Oct;6(Suppl 1):S130-4. doi: 10.4103/1817-1745.85734.
Modern epilepsy started in India in 1995 at Sri Chitra Tirunal Institute of Medical Science and Technology, Trivandrum and at All India Institute of Medical Sciences, New Delhi. At both centres the attempt was to get the program going with patients having surgically remediable epilepsy syndromes -who could be evaluated with non invasive investigations. The mainstay of the evaluation was a good quality epilepsy specific MRI and video EEG coupled with a SPECT study and a neuropsychological evaluation. Concordance of the focus on all investigations was critical to a good outcome. There were several problems on the way - but they were managed keeping in consideration our local needs and requirements. Intraoperative electocorticography was done and good outcomes attained. The critical determinants of success were the formation of a team with various interdisciplinary specialists and a strong will to succeed.
现代癫痫治疗始于1995年的印度，在特里凡得琅的斯里奇特拉蒂鲁纳尔医学科学与技术研究所和新德里的全印度医学科学研究所开展。在这两个中心，尝试针对患有可通过手术治疗的癫痫综合征的患者启动该项目——这些患者可以通过非侵入性检查进行评估。评估的主要手段是高质量的癫痫特异性磁共振成像（MRI）和视频脑电图，并结合单光子发射计算机断层扫描（SPECT）研究和神经心理学评估。所有检查结果中病灶的一致性对于良好的治疗效果至关重要。过程中存在几个问题——但我们根据当地需求和要求进行了妥善处理。术中进行了皮质脑电图检查，并取得了良好的效果。成功的关键因素是组建一个由各跨学科专家组成的团队以及强烈的成功意愿。
