Noachtar S, Rémi J
Neurologische Klinik und Poliklinik, Klinikum der Universität München-Großhadern, Marchioninistr. 15, 81377, München, Deutschland.
Nervenarzt. 2012 Feb;83(2):209-12. doi: 10.1007/s00115-011-3341-4.
Epilepsy surgery is an important therapeutic option for patients with epilepsy since one third of all epilepsy patients will still not be become seizure free despite newly developed antiepileptic drugs. Anterior temporal lobe resection is the most common procedure. Extratemporal resections require more complex diagnostics and often invasive evaluation which is not the case in most temporal epilepsy patients due to improved imaging (MRI, PET, SPECT). Electrical stimulation of the anterior thalamus has been available as a treatment option since last year.
癫痫手术是癫痫患者的一种重要治疗选择,因为尽管有新开发的抗癫痫药物,仍有三分之一的癫痫患者无法实现无发作。颞叶前部切除术是最常见的手术。颞叶外切除术需要更复杂的诊断,且通常需要进行侵入性评估,但由于影像学(MRI、PET、SPECT)的改进,大多数颞叶癫痫患者并非如此。自去年以来,丘脑前核电刺激已作为一种治疗选择。