Epilepsy Curr. 2012 Mar;12(2):46-50. doi: 10.5698/1535-7511-12.2.46.
At present there is considerable variability in the psychiatric evaluation and follow-up of patients in epilepsy surgery programs globally. There is a large body of research now demonstrating heightened risk for psychological disturbance in surgically remedial patients before and after surgery. This evidence provides a compelling case for the routine provision of psychiatric and psychological treatment to optimize the benefits of epilepsy surgery and patient outcomes. In a comprehensive model of care, presurgical psychiatric and psychosocial evaluation plays an integral role in shaping the team's understanding of surgical candidacy and the patient's capacity for informed consent. After surgery, efficacious treatment of psychiatric comorbidity increases the likelihood of seizure freedom as well as optimizes psychosocial functioning and quality of life. By contrast, failure to treat can allow psychiatric comorbidity to persist or psychological difficulties to develop as the patient adjusts to life after surgery.
目前，全球癫痫手术项目中的患者在精神科评估和随访方面存在相当大的差异。现在有大量研究表明，手术矫正患者在手术前后存在心理障碍的风险增加。这一证据有力地证明了常规提供精神科和心理治疗以优化癫痫手术和患者预后的必要性。在全面的护理模式中，术前精神科和心理社会评估对于团队了解手术候选资格和患者知情同意能力起着重要作用。手术后，有效的精神共病治疗可以提高无癫痫发作的可能性，并优化心理社会功能和生活质量。相比之下，如果不治疗，随着患者适应手术后的生活，精神共病可能会持续存在，或者心理问题可能会发展。
